Individual
EVELYN L INCITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1405 FULTON AVE, SCHENECTADY, NY 12308-1402
(518) 243-1313
(518) 831-7007
Mailing address
1462 ERIE BLVD, SCHENECTADY, NY 12305-1026
(518) 377-1779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0026511
NY
363LA2200X
Adult Health Nurse Practitioner
F000326-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NY
Enumeration date
10/12/2006
Last updated
10/16/2007
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