Individual
EVAN YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-6271
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7491
(212) 423-6271
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
314314
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2019
Last updated
05/04/2023
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