Individual
DR. MARK IRA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 E 65TH ST, NEW YORK, NY 10021-7006
(212) 744-2590
(212) 879-2606
Mailing address
100 OLD PALISADE RD, 2906, FORT LEE, NJ 07024-7064
(201) 585-0686
(201) 585-0685
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
2261341
NY
207V00000X
Obstetrics & Gynecology Physician
2261341
NY
Other
Enumeration date
01/29/2007
Last updated
09/11/2025
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