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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518926302 NPPES
New York MEDICAID 02228926

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