Individual
GARTH EVERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 W 26TH ST RM 522, NEW YORK, NY 10001-1137
(212) 268-5999
Mailing address
601 W 26TH ST RM 522, NEW YORK, NY 10001-1137
(212) 268-5999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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