Individual
EVAN DIDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 FRANKLIN AVE, SUITE 110, GARDEN CITY, NY 11530
(516) 396-7846
Mailing address
1001 FRANKLIN AVE, SUITE 110, GARDEN CITY, NY 11530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018551
NY
Other
Enumeration date
03/30/2015
Last updated
11/04/2021
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