Individual
EVELYN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8305
Mailing address
75-59 263RD STREET, GLEN OAKS, NY 11004
(718) 470-8305
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400386
NY
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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