Evangelista, Nancy Jo
Evangelista, Nancy Jo is an sole proprietor health care provider with primary practice located at 10 Church St , Alfred NY 14802-1102. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Evangelista, Nancy Jo can be contacted via phone (607) 968-0616.Contact Information
Primary practice address
10 Church St
Alfred NY 14802-1102
Phone: (607) 968-0616
Fax: (607) 587-9533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 009840-1 | New York |
Profile Details
| NPI number | 1699808519 |
|---|---|
| LBN Legal business name | Evangelista, Nancy Jo |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1699808519 | NPPES |
| New York | Other | 11514985 | CAHQ UNIVERSAL CREDENTIAL |
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