Organization
GEVANS MEDICAL PRACTICE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE EVANS OWUSU M.D (MEDICAL DIRECTOR)
(917) 385-9399
Entity
Organization
Contact information
Practice address
1280 GIVAN AVE, BRONX, NY 10469-2924
(347) 449-5936
(347) 449-5937
Mailing address
1280 GIVAN AVE, BRONX, NY 10469-2924
(347) 449-5936
(347) 449-5937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
232053
NY
282N00000X
General Acute Care Hospital
232053
NY
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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