Evangelista, Amanda Lyn

Evangelista, Amanda Lyn is an individual health care provider with primary practice located at 34 Mill St , Patchogue NY 11772-1045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Evangelista, Amanda Lyn can be contacted via phone (631) 258-2404.

Contact Information

Primary practice address
34 Mill St Patchogue NY 11772-1045
Phone: (631) 258-2404
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020210 New York

Profile Details

NPI number 1346790151
LBN Legal business name Evangelista, Amanda Lyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2016
Last updated Oct 5th, 2016 - about 10 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.

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