Individual
MR. BRYAN SAMFORT EVANCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 FOX CARE DRIVE, SUITE 303, ONEONTA, NY 13820
(607) 432-3711
(607) 432-6402
Mailing address
1 FOX CARE DRIVE, SUITE 303, ONEONTA, NY 13820
(607) 432-3711
(607) 432-6402
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1620101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00899665
—
NY
Enumeration date
10/02/2006
Last updated
04/19/2012
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