Individual
EVELYN NICHOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PENN PLZ, NEW YORK, NY 10119-0002
(315) 200-9311
Mailing address
8481 MCNAMARA DR, CLAY, NY 13041-8820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338020
NY
Other
Enumeration date
07/09/2013
Last updated
10/16/2023
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