MR. EVAN ALEXANDER FORMOSA
NPI 1871126946
Student in an Organized Health Care Education/Training Program in Valhalla, NY

Q: What is Evan Formosa's NPI number?

The NPI number for Evan Formosa is 1871126946. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Q: What is Evan Formosa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Formosa was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 18, 2020

40 SUNSHINE COTTEGE ROAD, NEW YORK MEDICAL COLLEGE STUDENT AFFAIRS SUITE 122A, VALHALLA, NY 10595(914) 594-4498(914) 594-4613 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Evan Alexander Formosa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EVAN ALEXANDER FORMOSA (NPI 1871126946) is an individual student in an organized health care education/training program in Valhalla, New York and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1871126946

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. EVAN ALEXANDER FORMOSA

Location Address40 SUNSHINE COTTEGE ROAD, NEW YORK MEDICAL COLLEGE STUDENT AFFAIRS SUITE 122AValhalla, NY 10595

Mailing Address40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122aValhalla, NY 10595 · (914) 594-4498 · Fax (914) 594-4613

Phone(914) 594-4498

Fax(914) 594-4613

Sole ProprietorNo

Enumeration DateFebruary 18, 2020

✔ NPI 1871126946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

40 SUNSHINE COTTEGE ROAD, Valhalla, NY 10595

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Formosa's NPI number?

The NPI number for Evan Formosa is 1871126946. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Evan Formosa located?

Evan Formosa practices at 40 Sunshine Cottege Road New York Medical College Student Affairs Suite 122A, Valhalla, NY 10595. The listed phone number is (914) 594-4498.

What is Evan Formosa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Evan Formosa was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.