Individual
DR. EVANGELOS NTRIVALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 608-1394
Mailing address
327 E 64TH ST, NEW YORK, NY 10065-6704
(646) 608-1394
(929) 321-7207
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
NTRIE1
NY
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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