Individual
DAVID EVANGS CADET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-3600
Mailing address
226 HARWOOD AVE, SYRACUSE, NY 13224-1666
(516) 808-7479
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
728594
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
728594
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
728594
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
728594
NY
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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