Gavilanes, Edison Genaro

Gavilanes, Edison Genaro is an individual health care provider with primary practice located at 317 Broadway Ste A , Amityville NY 11701-2770. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gavilanes, Edison Genaro can be contacted via phone (631) 598-5864.

Contact Information

Primary practice address
317 Broadway Ste A Amityville NY 11701-2770
Phone: (631) 598-5864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 257788 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 257788 New York

Profile Details

NPI number 1992967731
LBN Legal business name Gavilanes, Edison Genaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Apr 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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