Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eventide Logos LLC

Organization Family Medicine Physician · NPI 1356128086

Eventide Logos LLC is a Family Medicine Physician in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

535 5th Ave Fl 4
New York, NY 10017-8020
Phone: (718) 734-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356128086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hayley Voiers — Officer · (718) 734-9000
NPI enumeratedSeptember 14, 2023
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing addressPo Box 286500, New York, NY 10128-0005

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