Individual provider · Type 1 NPI
Rupert E. Evans Iii, PA
Surgical Physician Assistant · New Hyde Park, NY
NPI number
1346359981
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1433
Mailing address
175 Community Dr
Great Neck, NY 11021-5502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 010204 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1346359981
Rupert E. Evans Iii, PA's National Provider Identifier is 1346359981, issued on Aug 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 8, 2007.