Evangelista, Richard James

Evangelista, Richard James is an sole proprietor health care provider with primary practice located at 144 Lake Ave , Deer Park NY 11729-4219. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Evangelista, Richard James can be contacted via phone (631) 807-7144.

Contact Information

Primary practice address
144 Lake Ave Deer Park NY 11729-4219
Phone: (631) 807-7144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 008167-1 New York

Profile Details

NPI number 1215092978
LBN Legal business name Evangelista, Richard James
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2006
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.

Request for update

Popular Providers