Individual
VIRMANIA V EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 GRAND CONCOURSE FL 1, BRONX, NY 10457-8400
(718) 282-3425
Mailing address
1526 GRAND CONCOURSE FL 1, BRONX, NY 10457-8400
(718) 282-3425
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
NY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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