Individual
DR. EVANS CREVECOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA ANESTHESIA ASSOCIATES PC, JAMAICA, NY 11418-2897
(718) 206-6088
(718) 206-8087
Mailing address
PO BOX 30037, ELMONT, NY 11003-0037
(718) 433-0044
(646) 680-0576
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
177953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01424253
—
NY
Enumeration date
06/08/2006
Last updated
09/28/2022
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