Provider Demographics
NPI:1790943546
Name:GARFEIN, EVAN STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:STUART
Last Name:GARFEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 POPLAR ST
Mailing Address - Street 2:STE 200
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2653
Mailing Address - Country:US
Mailing Address - Phone:617-797-4440
Mailing Address - Fax:
Practice Address - Street 1:1625 POPLAR ST
Practice Address - Street 2:STE 200
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2653
Practice Address - Country:US
Practice Address - Phone:347-882-2068
Practice Address - Fax:781-405-8345
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229270-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist