Most Relevant Information
Provider Data
| NPI Number: | 1003443912 |
| Provider Name: | BRIANNA EVANS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2020 |
| Last Updated: | 03/23/2020 |
Provider Practice Location
1184 5TH AVE
NEW YORK
NY
100296503
Practice Location Phone/Fax
| Phone: | 2129619500 |
| Fax: |
Provider Mailing Location
1184 5TH AVE
NEW YORK
NY
100296503
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |