Rita Michelle Evangelista

NPI #1023970464 in Glen Head, New York

Provider Information

NPI Number: 1023970464
Entity Type: Individual
Name: Rita Michelle Evangelista
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 24, 2025
Last Updated: Nov 24, 2025

Practice Location

Address: 1 KISSAM LN
City: Glen Head
State: New York
ZIP Code: 11545-1044
Phone: (516) 353-6149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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