Organization
ENTROVIA MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVENS SAINT CYRUS M.D. (PRESIDENT)
(917) 270-4980
Entity
Organization
Contact information
Practice address
6384 SAUNDERS ST, SUITE #2U, REGO PARK, NY 11374-3108
(718) 897-0573
Mailing address
6384 SAUNDERS ST, SUITE #2U, REGO PARK, NY 11374-3108
(718) 897-0573
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
169274
NY
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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