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Contact Information

EDISON G GAVILANES, MD
317 BROADWAY STE A
AMITYVILLE, NY11701-2770
 Phone: 631-598-5864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EDISON G GAVILANES · (Male)

NPI Number 1992967731
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2008
Last updated 04/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 257788
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
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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