Individual
JASON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N., CRNA
Contact information
Practice address
506 6TH STREET, BROOKLYN, NY 11215, BROOKLYN, NY 11215
(718) 780-3000
Mailing address
23 SEELEY ST, BROOKLYN, NY 11218-1009
(631) 682-5088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
583708
NY
Other
Enumeration date
12/21/2016
Last updated
06/09/2020
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