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Mr. Evan Alexander Formosa
Student in an Organized Health Care Education/Training Program in Valhalla, New York
NPI 1871126946

Evan Alexander Formosa is a Student in an Organized Health Care Education/Training Program based in Valhalla, NY. Evan Alexander Formosa practices in Valhalla, NY. The NPI Number for Evan Alexander Formosa is 1871126946 and holds a License No. (New York).

The current practice location address for Evan Alexander Formosa is 40 Sunshine Cottege Road, Valhalla, NY and can be reached out via phone at 914-594-4498 and via fax at 914-594-4613.

Location: 40 Sunshine Cottege Road, Valhalla, NY, 10595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871126946
Provider Name
Evan Alexander Formosa
Credential
Provider Entity Type
Individual
Gender
Male
Address
40 Sunshine Cottege Road, Valhalla, NY, 10595
Phone Number
914-594-4498
Fax Number
914-594-4613
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Sunshine Cottege Road
City
Valhalla
State
New York
Zip
10595
Phone Number
914-594-4498
Fax Number
914-594-4613
person
Provider Business Mailing Address Details
Address
40 Sunshine Cottege Road
City
Valhalla
State
New York
Zip
10595
Phone Number
914-594-4498
Fax Number
914-594-4613
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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