| Evs Health Services Llc | |
|
15 Ebony St Staten Island NY 10306-1922 | |
| (480) 427-1430 | |
| Not Available |
| Full Name | Evs Health Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15 Ebony St, Staten Island, New York |
| Authorized Official Name and Position | Edna Aurelus (ASSOCIATE PROFESSOR) |
| Authorized Official Contact | 4804271430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evs Health Services Llc 15 Ebony St Staten Island NY 10306-1922 Ph: () - | Evs Health Services Llc 15 Ebony St Staten Island NY 10306-1922 Ph: (480) 427-1430 |
| NPI Number | 1649947250 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Medicare PECOS PAC ID | 5092106211 |
|---|---|
| Medicare Enrollment ID | O20211223001545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649947250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Edna Aurelus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023302502 PECOS PAC ID: 6103099288 Enrollment ID: I20150915001572 |
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