Individual
MICHAEL J EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
255 LAFAYETTE AVE, GOOD SAMARITAN HOSPITAL, SUFFERN, NY 10901-4812
(845) 368-8800
(845) 368-5608
Mailing address
255 LAFAYETTE AVE, GOOD SAMARITAN HOSPITAL, SUFFERN, NY 10901-4812
(845) 368-8800
(845) 368-5608
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000533-1
NY
Other
Enumeration date
05/24/2006
Last updated
03/16/2012
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