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Organization
OSVALDO J EVANGELISTA,PC
Active
Organization
OSVALDO J EVANGELISTA,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSVALDO JOSE EVANGELISTA M.D. (PRESIDENT)
(718) 939-3755
Entity
Organization
Contact information
Practice address
14031 OAK AVE, FLUSHING, NY 11355-3558
(718) 939-3755
(718) 939-3755
Mailing address
14031 OAK AVE, FLUSHING, NY 11355-3558
(718) 939-3755
(718) 939-3755
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
128544
NY
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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