MARK VICTOR EVANGELISTA

BRONX, NY
NPI1972800209
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  0293241)
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
-- MARK VICTOR EVANGELISTA PT
1409 METROPOLITAN AVE 7H
BRONX, NY 10462-7447
Phone number: 347-657-0450
Mailing Address
-- MARK VICTOR EVANGELISTA PT
1409 METROPOLITAN AVE 7H
BRONX, NY 10462-7447
Phone number: 347-657-0450