Individual
CLARY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(855) 927-6622
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(855) 927-6622
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
P104267
NY
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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