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

Evan T Rebillot, PA

Individual provider Physician Assistant · NPI 1730546649

Evan T Rebillot, PA is a Physician Assistant in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1300 York Ave
New York, NY 10065-4805 Not confirmed with CMS for 10 years — call before visiting
Phone: (845) 926-4968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1730546649
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 22, 2016
Last updated in NPPESJanuary 22, 2016

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