Healthcare Provider Details

I. General information

NPI: 1821533761
Provider Name (Legal Business Name): EVELYN FILPO NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2017
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11835 QUEENS BLVD STE 400
FOREST HILLS NY
11375-7211
US

IV. Provider business mailing address

8423 106TH ST
RICHMOND HILL NY
11418-1138
US

V. Phone/Fax

Practice location:
  • Phone: 646-722-7610
  • Fax: 347-535-3970
Mailing address:
  • Phone: 718-441-3373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF308008-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberF308008-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: