# GEVANS MEDICAL PRACTICE P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538300934
- **Authorized official:** DR. GEORGE EVANS OWUSU M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 385-9399

## Contact information

- **Practice address:** 1280 GIVAN AVE, BRONX, NY 10469-2924
- **Practice address phone:** (347) 449-5936
- **Practice address fax:** (347) 449-5937
- **Mailing address:** 1280 GIVAN AVE, BRONX, NY 10469-2924
- **Mailing address phone:** (347) 449-5936
- **Mailing address fax:** (347) 449-5937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 232053 | NY | Yes |
| 282N00000X | General Acute Care Hospital | 232053 | NY | — |

## Other

- **Enumeration date:** 03/13/2009
- **Last updated:** 03/13/2009