Provider Demographics
NPI:1427176833
Name:ORPILLA, EVANGELINE MARTINEZ (NP)
Entity type:Individual
Prefix:MRS
First Name:EVANGELINE
Middle Name:MARTINEZ
Last Name:ORPILLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10 EDSAM RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-1204
Mailing Address - Country:US
Mailing Address - Phone:845-353-6229
Mailing Address - Fax:212-342-4725
Practice Address - Street 1:21 AUDUBON AVE.
Practice Address - Street 2:URGENT CARE CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-342-4700
Practice Address - Fax:212-342-4725
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF333581363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care