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Contact Information

GULLE N AWAN
994 W JERICHO TPKE
SUITE 104
SMITHTOWN, NY11787-3235
 Phone: 631-543-1440
 Fax: 631-543-1930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for GULLE N AWAN · (Female)

NPI # 1538302179
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2009
Last updated 12/22/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 250584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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