Evenchik, Bruce G.

Evenchik, Bruce G. is an individual health care provider with primary practice located at 820 Union St. , Hudson NY 12534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Evenchik, Bruce G. can be contacted via phone (518) 828-3391.

Contact Information

Primary practice address
820 Union St. Hudson NY 12534
Phone: (518) 828-3391
Fax: (518) 828-6734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 148821 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 47753 Massachusetts

Profile Details

NPI number 1225091051
LBN Legal business name Evenchik, Bruce G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 25th, 2022 - about 3 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 1225091051 NPPES
Massachusetts Other 1010050002 GB MEDICARE NSC
Massachusetts MEDICAID 0154954 GB MEDICARE NSC

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