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
Phone: (718) 885-1915
Fax: (718) 885-9221
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932158862 | NPPES |
New York | MEDICAID | 01009269 |
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