Organization
EVOLUTION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA LAZAREVIC M.D. (PRESIDENT)
(212) 924-2871
Entity
Organization
Contact information
Practice address
280 MADISON AVE RM 205, NEW YORK, NY 10016-0816
(212) 924-2871
Mailing address
7 BRUSH HILL RD UNIT 8853, NEW FAIRFIELD, CT 06812-7736
(212) 924-2871
(917) 382-3681
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
263015
NY
2084P0802X
Addiction Psychiatry Physician
263015
NY
Other
Enumeration date
03/27/2017
Last updated
05/01/2022
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