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Organization
EVOLVE PHYSICAL MEDICINE AND REHABILITATION, PC
Active
Organization
EVOLVE PHYSICAL MEDICINE AND REHABILITATION, PC
Active
Other names
Evolve Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BELLO (INSURANCE RESOLUTION SPECIALIST)
(212) 404-7355
Entity
Organization
Contact information
Practice address
1441 BROADWAY STE 2403, NEW YORK, NY 10018-1905
(212) 404-8032
Mailing address
1441 BROADWAY STE 2403, NEW YORK, NY 10018-1905
(212) 404-8032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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