Frank Evanov Md Pc | |
19303 Union Tpke Fresh Meadows NY 11366-1874 | |
(718) 217-8400 | |
Not Available |
Full Name | Frank Evanov Md Pc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 19303 Union Tpke, Fresh Meadows, New York |
Authorized Official Name and Position | Frank Evanov (OWNER) |
Authorized Official Contact | 5163521500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Frank Evanov Md Pc 1300 Union Tpke New Hyde Park NY 11040-1759 Ph: (516) 352-1500 | Frank Evanov Md Pc 19303 Union Tpke Fresh Meadows NY 11366-1874 Ph: (718) 217-8400 |
NPI Number | 1144538877 |
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Provider Enumeration Date | 09/15/2010 |
Last Update Date | 09/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144538877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 124049 (New York) | Primary |
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