Individual provider · Type 1 NPI

Evan Alexander Formosa

Student in an Organized Health Care Education/Training Program · Valhalla, NY

NPI number 1871126946 Active

Practice location

40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122A
Valhalla, NY 10595

Call (914) 594-4498 Map

Fax (914) 594-4613

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1871126946

Evan Alexander Formosa's National Provider Identifier is 1871126946, issued on Feb 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Feb 18, 2020.