Provider Demographics
NPI:1942965116
Name:EVOLVING TREATMENT MEDICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:EVOLVING TREATMENT MEDICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LINDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:518-290-1195
Mailing Address - Street 1:3 CARE LN STE 100
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8636
Mailing Address - Country:US
Mailing Address - Phone:518-290-1195
Mailing Address - Fax:518-480-2195
Practice Address - Street 1:3 CARE LN STE 100
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8636
Practice Address - Country:US
Practice Address - Phone:518-290-1195
Practice Address - Fax:518-480-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care