Provider Demographics
NPI:1245005677
Name:SZEINBAUM, EVELYN D (ND)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:D
Last Name:SZEINBAUM
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7718 64TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6152
Mailing Address - Country:US
Mailing Address - Phone:404-759-6407
Mailing Address - Fax:
Practice Address - Street 1:7718 64TH ST FL 2
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-6152
Practice Address - Country:US
Practice Address - Phone:404-759-6407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000689175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath