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
Fax: (585) 423-0471
Website:

Health care specialties

SpecialtyCodeLicense #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 6 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 1326092107 NPPES
New York MEDICAID 01669589

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