Individual
MRS. EVELYN A O'NEILL-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3011 RANDALL AVE, BRONX, NY 10465-2359
(718) 829-6094
Mailing address
3011 RANDALL AVE, BRONX, NY 10465-2359
(718) 829-6094
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382096-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F382096
NYS LICENSE
NY
Enumeration date
08/30/2011
Last updated
08/30/2011
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