Individual
EVELYN R FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
299 BLUE SPRUCE DR, LOON LAKE, NY 12989-2905
(518) 891-2554
Mailing address
299 BLUE SPRUCE DR, LOON LAKE, NY 12989-2905
(518) 891-2554
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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