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Individual

DR. EVAN GREGORI PASQUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3350 WHITE PLAINS RD, BRONX, NY 10467-5701
(718) 654-4113
Mailing address
10 BRUCE RD, MAMARONECK, NY 10543-1102

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011220-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02772241
NY
Enumeration date
04/18/2006
Last updated
02/12/2008
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