Individual
ELISE MCEVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-7818
Mailing address
71 COYKENDALL RD, SUSSEX, NJ 07461-3014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0177111
NY
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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