| Eventide Logos Llc | |
|
535 5th Ave Fl 4 New York NY 10017-8020 | |
| (718) 734-9000 | |
| Not Available |
| Full Name | Eventide Logos Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 535 5th Ave Fl 4, New York, New York |
| Authorized Official Name and Position | Hayley Voiers (OFFICER) |
| Authorized Official Contact | 7187349000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventide Logos Llc Po Box 286500 New York NY 10128-0005 Ph: () - | Eventide Logos Llc 535 5th Ave Fl 4 New York NY 10017-8020 Ph: (718) 734-9000 |
| NPI Number | 1356128086 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356128086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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