Individual
MRS. EVELYNE M. JEANNITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
185 WASHINGTON PARK, BROOKLYN, NY 11205
(917) 407-8302
Mailing address
185 WASHINGTON PARK, BROOKLYN, NY 11205
(917) 407-8302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
000260-1
NY
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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