Individual provider · Type 1 NPI

Rita Michelle Evangelista

Physician Assistant · Bay Shore, NY

NPI number 1023970464 Active

Practice location

46 Brentwood Rd Ste 100
Bay Shore, NY 11706-6924

Call (631) 647-3800 Map

Mailing address

1 Kissam Ln
Glen Head, NY 11545-1044

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X033979-01 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023970464

Rita Michelle Evangelista's National Provider Identifier is 1023970464, issued on Nov 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bay Shore, NY. The record was last updated on Aug 10, 2026.