Individual
LELAND DE EVOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 SUMMIT CT, SUITE 202, FISHKILL, NY 12524-1348
(845) 897-0009
(845) 897-0009
Mailing address
2 SUMMIT CT, SUITE 202, FISHKILL, NY 12524-1348
(845) 897-0009
(845) 897-0009
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125381-1
NY
2084P0802X
Addiction Psychiatry Physician
125381-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603163
—
NY
Enumeration date
11/08/2005
Last updated
09/11/2025
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