Evans, Mark Joseph
Evans, Mark Joseph is an individual health care provider with primary practice located at 1430 Broadway Rm 304 , New York NY 10018-9226. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Evans, Mark Joseph can be contacted via phone (212) 840-8410.Contact Information
Primary practice address
1430 Broadway Rm 304
New York NY 10018-9226
Phone: (212) 840-8410
Fax: (212) 840-8415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 014660 | New York |
Profile Details
| NPI number | 1518926302 |
|---|---|
| LBN Legal business name | Evans, Mark Joseph |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 22nd, 2013 - about 11 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 | 1518926302 | NPPES |
| New York | MEDICAID | 02228926 |
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