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Contact Information

EVAN R PONCHER, MD
102-01 66TH ROAD
FOREST HILLS, NY11375
 Phone: 718-830-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for EVAN R PONCHER · (Male)

NPI # 1942509708
Status Active
Credentials MD
Entity Individual
Enumeration date 03/19/2011
Last updated 11/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR0053572
  • NE License # 28695
  • NY License # 268160-1
  • TN License # 64346
Hospital affiliation(s)
  • FAMILY HEALTH WEST HOSPITAL - (Critical Access)
    300 WEST OTTLEY AVENUE
    FRUITA, CO 81521
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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