Evangelisti, Stephen
Evangelisti, Stephen is an individual health care provider with primary practice located at 1901 Lac De Ville Blvd , Rochester NY 14618-5627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Evangelisti, Stephen can be contacted via phone (585) 325-1120.Contact Information
Primary practice address
1901 Lac De Ville Blvd
Rochester NY 14618-5627
Phone: (585) 325-1120
Fax: (585) 423-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 173597-1 | New York |
Profile Details
| NPI number | 1326092107 |
|---|---|
| LBN Legal business name | Evangelisti, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 2nd, 2018 - about 7 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 | 1326092107 | NPPES |
| New York | MEDICAID | 01669589 |
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