Individual
EVELYNE DORIVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4500
(718) 264-4933
Mailing address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4500
(718) 264-4933
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
4203191
NY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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