Individual
DEVITT ELVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
115 BEACH 221ST ST, ROCKAWAY POINT, NY 11697-1524
(718) 634-1502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
159563-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01905733
—
NY
Enumeration date
08/13/2006
Last updated
07/08/2007
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