Gavin, Michael Joseph

Gavin, Michael Joseph is an individual health care provider with primary practice located at 167 Sullys Trl Ste 100, Pittsford NY 14534-4567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gavin, Michael Joseph can be contacted via phone (585) 758-0800.

Contact Information

Primary practice address
167 Sullys Trl Ste 100 Pittsford NY 14534-4567
Phone: (585) 758-0800
Fax: (585) 381-1577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 273591 New York

Profile Details

NPI number 1467741686
LBN Legal business name Gavin, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Apr 17th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467741686 NPPES
New York MEDICAID 04186398

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