Individual
DR. LILIA A EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 HAWKINS ST, BRONX, NY 10464-1415
(718) 885-1915
(718) 885-9221
Mailing address
26 HAWKINS ST, BRONX, NY 10464-1415
(718) 885-1915
(718) 885-9221
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
123772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009269
—
NY
Enumeration date
05/08/2006
Last updated
03/17/2015
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