Individual
EVAN BARRY FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 RIVERS EDGE RD, NEW YORK, NY 10035-1163
(646) 766-3810
Mailing address
81A OCEAN AVE, MASSAPEQUA, NY 11758-7971
(631) 678-8936
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
315587-01
NY
Other
Enumeration date
04/03/2017
Last updated
04/30/2024
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