| NPI | 1598168338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER A EVANGELISTA D.D.S. 917-494-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 48294) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |