AMANDA LYN EVANGELISTA

PATCHOGUE, NY
NPI1346790151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  020210)
Enumeration Date2016-10-05
Last Update Date2016-10-05
Business Address
Miss AMANDA LYN EVANGELISTA PA-C
34 MILL ST
PATCHOGUE, NY 11772-1045
Phone number: 631-258-2404
Mailing Address
Miss AMANDA LYN EVANGELISTA PA-C
34 MILL ST
PATCHOGUE, NY 11772-1045
Phone number: 631-258-2404
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