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NPI Code Detail

MEDICARE: SYDNEY EVANS

MEDICARE: SYDNEY EVANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1023211182
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY EVANS
Provider Business Mailing Address
First Line : 203 LAURENS ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-2511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 203 LAURENS ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-2511
Country : US
Telephone Number : 716-373-8080
Fax Number : 716-373-8093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 07/08/2007

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Directions to “ SYDNEY EVANS ” Practice Location

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