National Provider Identifier
Evan Tucker
Evan Tucker is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 953-9286.
Profile Overview
- NPI
- 1972319440
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- December 09, 2024
- Last Updated
- December 09, 2024
Practice Location
- 72 Hinchey RD
- Rochester, NY 14624-2930
Phone: (585) 953-9286
Mailing Address
- 21 Steele RD
- Victor, NY 14564-9607
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1972319440
- Entity Type
- Individual
- Last Name
- Tucker
- First Name
- Evan
- Mailing Street Address
- 21 Steele RD
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9607
- Mailing Country
- US
- Practice Street Address
- 72 Hinchey RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-2930
- Practice Country
- US
- Practice Phone
- (585) 953-9286
- Enumeration Date
- December 09, 2024
- Last Updated
- December 09, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)