Evangelista, Vincent

Evangelista, Vincent is an individual health care provider with primary practice located at 9715 101St Ave , Ozone Park NY 11416-2523. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Evangelista, Vincent can be contacted via phone (718) 848-5700.

Contact Information

Primary practice address
9715 101St Ave Ozone Park NY 11416-2523
Phone: (718) 848-5700
Fax: (718) 323-0449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N004384 New York
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N004384 New York

Profile Details

NPI number 1932152352
LBN Legal business name Evangelista, Vincent
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 26th, 2016 - 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 1932152352 NPPES
New York MEDICAID 1120236

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