Individual
MAKENZI COLLEEN EVANGELIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
43 NEW SCOTLAND AVE, MAIL CODE 7, ALBANY, NY 12208-3412
(518) 262-6696
(518) 262-6770
Mailing address
43 NEW SCOTLAND AVE, MAIL CODE 7, ALBANY, NY 12208-3412
(518) 262-6696
(518) 262-6770
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
262155
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03356278
—
NY
Enumeration date
06/17/2008
Last updated
03/19/2019
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