Individual
EVENS SAINT CYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 VAN WYCK, JAMAICA ANESTHESIA ASSOCIATES PC, JAMAICA, NY 11418
(718) 206-6088
(718) 206-6532
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-8371
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
169274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01566545
—
NY
Enumeration date
05/11/2006
Last updated
04/04/2019
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