Evangelista, Lilia A

Evangelista, Lilia A is an sole proprietor health care provider with primary practice located at 26 Hawkins St , Bronx NY 10464-1415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Evangelista, Lilia A can be contacted via phone (718) 885-1915.

Contact Information

Primary practice address
26 Hawkins St Bronx NY 10464-1415
Fax: (718) 885-9221
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 123772 New York

Profile Details

NPI number 1932158862
LBN Legal business name Evangelista, Lilia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Mar 17th, 2015 - about 9 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 1932158862 NPPES
New York MEDICAID 01009269

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