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 provides Family Medicine Physician services 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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