Doctor Name: | LATOYA EVANS |
NPI Number: | 1659603124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | X011960-1 |
Business Practice Address: | 825 E Gate Blvd Suite 101 Garden City, NY - 115302124 |
Business Phone Number: | 5168817796 |
Business Fax Number: | |
Mailing Address: | 10 Chadwick St Fl 2, GLEN COVE |
State: | NY |
Postal Code: | 115424108 |
Phone Number: | 5168517796 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X011960-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |