SearchNew York363A00000X

Amanda Evangelista, PA-C

NPI 1346790151 · on the registry since 2016

Practice

Address
34 Mill St
Patchogue, NY 11772
Phone
(631) 258-2404

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York