MISS Amanda Lyn Evangelista, PA-C

NPI #1346790151 in Patchogue, New York

Provider Information

NPI Number: 1346790151
Entity Type: Individual
Name: MISS Amanda Lyn Evangelista, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 34 MILL ST
City: Patchogue
State: New York
ZIP Code: 11772-1045
Phone: (631) 258-2404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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