Individual
PHOEBE L EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
(518) 561-0881
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-7900
(518) 562-7933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
157114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490094001
BSNENY
NY
05
—
01936589
—
NY
01
—
114406
VALUE OPTIONS
NY
01
—
90031
MVP
NY
01
—
PE01760N10
EMPIRE BC BS
NY
Enumeration date
01/02/2007
Last updated
08/17/2007
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