Individual provider · Type 1 NPI

Evelyne Dorival

Addiction Medicine (Psychiatry & Neurology) Physician · Bellerose, NY

NPI number 1790140689 Active

Practice location

7403 Commonwealth Blvd
Bellerose, NY 11426-1839

Fax (718) 264-4933

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401X4203191 (NY)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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About NPI 1790140689

Evelyne Dorival's National Provider Identifier is 1790140689, issued on Dec 21, 2015. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Bellerose, NY. The record was last updated on Dec 21, 2015.