Individual
EVAN JOHN SIGOUROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 38TH ST, ISLIP, NY 11751-1101
(516) 274-8972
Mailing address
72 PARKWOOD RD, WEST ISLIP, NY 11795-3803
(631) 649-6478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025343
NY
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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