Individual
EVELYN BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
(718) 226-6964
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
(718) 226-6964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03447849
—
NY
Enumeration date
10/13/2010
Last updated
07/22/2013
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