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Organization
EVENTIDE LOGOS LLC
Active
Organization
EVENTIDE LOGOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEY VOIERS (OFFICER)
(718) 734-9000
Entity
Organization
Contact information
Practice address
535 5TH AVE FL 4, NEW YORK, NY 10017-8020
(718) 734-9000
Mailing address
PO BOX 286500, NEW YORK, NY 10128-0005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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