Search › New York › 235Z00000X
Evelyn Custodio
NPI 1740678564 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1915 Harman St Apt B
Ridgewood, NY 11385 - Phone
- (347) 658-3858
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-31
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