Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JED EDISON MANCE EVANGELISTA, PT
ActiveMR. JED EDISON MANCE EVANGELISTA, PT is a Physical Therapy Assistant healthcare provider located in KEW GARDENS, New York. NPI 1215592845 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KEW GARDENS, NY
Registration Details
- NPI Number
- 1215592845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2019 (7.0808767288554 yrs)
- Last Updated
- May 9, 2019
Practice Information
- Address
-
8532 125TH STKEW GARDENS, NY, 114153311Browse NY providers · Browse ZIP 11415
- Phone
- 4106299872
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KEW GARDENS, NY
| Name | Credential | NPI |
|---|---|---|
| MR. BOULOS SAMUEL JR. | PT | 1427044908 |
| EVELYN T BARON | PT | 1952524720 |
| MR. RONALD YAO CABISUDO | PT | 1659556652 |
| MISS NATALIE RICHARDSON | MPT | 1528392792 |
| MR. AYMAN S WASEF | PT: DPT | 1780951335 |
| DORA JUDITA BETANCOURT-HINCAPIE | PT | 1336410372 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.