Individual
AUSTIN EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGPCNP-BC
Contact information
Practice address
200 WESTAGE BUSINESS CTR DR STE 240, FISHKILL, NY 12524-2268
(845) 896-8784
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F308636-1
NY
363LG0600X
Gerontology Nurse Practitioner
308636
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
308636
NY
Other
Enumeration date
03/03/2019
Last updated
11/16/2023
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