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

Mr. Evan Alexander Formosa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871126946

Mr. Evan Alexander Formosa is a Student in an Organized Health Care Education/Training Program in Valhalla, New York. Registered with an NPI since 2020.

In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

40 Sunshine Cottege Road New York Medical College Student Affairs Ste 122A
Valhalla, NY 10595
Phone: (914) 594-4498
Fax: (914) 594-4613
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1871126946
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESFebruary 18, 2020
Certification dateFebruary 18, 2020
Mailing address40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595

Other providers in Valhalla