| Doctor Name: | EVELYN SULIBIT ALCONTIN |
| NPI Number: | 1073711586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP, WOUND CARE SPEC |
| License Number: | F302255-1 |
| Business Practice Address: | 2510 30th Ave Long Island City, NY - 111022448 |
| Business Phone Number: | 7182676226 |
| Business Fax Number: | |
| Mailing Address: | 4301 46th St, #2j SUNNYSIDE |
| State: | NY |
| Postal Code: | 111042059 |
| Phone Number: | 7187070667 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2007 |
| NPI Last Update Date: | 12/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F302255-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |