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1881267763
GINA MARIE EVANGELISTA
STONY BROOK, NY
NPI
1881267763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-07-20
Last Update Date
2021-07-25
Business Address
GINA MARIE EVANGELISTA PA-C
NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080
STONY BROOK, NY 11794-0001
Phone number: 631-444-1116
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Mailing Address
GINA MARIE EVANGELISTA PA-C
30 BULLARD ST
MASTIC, NY 11950-4702
Phone number: 631-827-3628
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