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1104379213
EVAN ANGELO ANGELIS
NEW YORK, NY
NPI
1104379213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019920)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
-- EVAN ANGELO ANGELIS PA
177 FORT WASHINGTON AVE
NEW YORK, NY 10032-3733
Phone number: 212-305-2500
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Mailing Address
-- EVAN ANGELO ANGELIS PA
108 WOLF AVE
MALVERNE, NY 11565-1524
Phone number: 516-662-8857
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