Individual
EVAN CRESSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1061 N BROADWAY STE 2, MASSAPEQUA, NY 11758-1853
(631) 758-7003
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029849
NY
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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