Individual
MRS. EVELYN DELIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
231 S 3RD ST, BROOKLYN, NY 11211-5601
(718) 599-0505
Mailing address
231 S 3RD ST, BROOKLYN, NY 11211-5601
(718) 599-0505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
014635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014635
LICENCE
NY
Enumeration date
09/07/2011
Last updated
06/07/2022
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