Individual
DR. MICHAEL J EVEROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 WESTBURY ROAD, SUITE 100, WESTBURY, NY 11590
(516) 333-4100
(516) 333-4255
Mailing address
119 MANITOU TRAIL, KINGS PARK, NY 11754
(631) 648-3951
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01972605
—
NY
Enumeration date
07/27/2006
Last updated
07/08/2007
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