Broikos, Evelyn S
Broikos, Evelyn S is an sole proprietor health care provider with primary practice located at 2066 Hudson Ave , Rochester NY 14617-4300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Broikos, Evelyn S can be contacted via phone (585) 922-2800.Contact Information
Primary practice address
2066 Hudson Ave
Rochester NY 14617-4300
Phone: (585) 922-2800
Fax: (585) 922-2866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 197121 | New York |
Profile Details
| NPI number | 1912991399 |
|---|---|
| LBN Legal business name | Broikos, Evelyn S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 24th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912991399 | NPPES |
| New York | MEDICAID | 01674042 |
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