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Individual

MRS. ANDREA L EVOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
25 MONTEREY AVE, STATEN ISLAND, NY 10312-2058
(917) 807-8707
Mailing address
25 MONTEREY AVE, STATEN ISLAND, NY 10312-2058
(917) 807-8707

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307885
NY
363LG0600X
Gerontology Nurse Practitioner
307885
NY

Other

Enumeration date
07/26/2016
Last updated
07/26/2016
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