Evangelista, Bernardo S.

Evangelista, Bernardo S. is an sole proprietor health care provider with primary practice located at 244 Ontario St , Cohoes NY 12047-2868. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Evangelista, Bernardo S. can be contacted via phone (518) 237-5656.

Contact Information

Primary practice address
244 Ontario St Cohoes NY 12047-2868
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 099944 New York

Profile Details

NPI number 1104842921
LBN Legal business name Evangelista, Bernardo S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Oct 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104842921 NPPES
New York Other 10000593 CDPHP

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