Individual
ANTONIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMEDSCI
Contact information
Practice address
5030 BROADWAY STE 809, NEW YORK, NY 10034-1666
(212) 304-0400
Mailing address
5030 BROADWAY STE 809, NEW YORK, NY 10034-1666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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