Evance Desriviere
NPI #1992899637 in Hoboken, New Jersey
Provider Information
- NPI Number
- 1992899637
- Entity Type
- Individual
- Name
- Evance Desriviere
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 96 HUDSON STREET
- City
- Hoboken
- State
- New Jersey
- ZIP Code
- 07030
- Phone
- (201) 610-9559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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