Individual
EVANGELINA COVARRUBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
781 SUFFOLK AVE, SUITE 3, BRENTWOOD, NY 11717-4409
(631) 273-6315
(631) 273-0692
Mailing address
18 AWIXA AVE, BAY SHORE, NY 11706-8802
(631) 666-8127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042596-1
NY
Other
Enumeration date
04/23/2007
Last updated
03/07/2023
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