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Individual

RICHARD EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 MEDICAL PARK DR, WEST NYACK, NY 10994-1965
(845) 354-5000
(845) 354-9469
Mailing address
20 GRAND ST, FL 3, WARWICK, NY 10990-1035
(845) 777-3569
(845) 987-5979

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1643911
NY

Other

Enumeration date
12/08/2005
Last updated
05/07/2019
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