Dr EDISON G GAVILANES is a male medical professional, specializing in Internal Medicine. He graduated in 2007.
AMITYVILLE PULMONOLOGY PLLC
317 BROADWAY A
AMITYVILLE
NY
117012770
Tel: 6315985864
| Npi | 1992967731 |
| Pac Id | 4981888690 |
| Professional Enrollment Id | I20110405000059 |
| Last Name | GAVILANES |
| First Name | EDISON |
| Middle Name | G |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
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| Organization Legal Name | AMITYVILLE PULMONOLOGY PLLC |
| Group Practice Pac Id | 2567471139 |
| Number Of Group Practice Members | 15 |
| Line 1 Street Address | 317 BROADWAY A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 117012770 |
| Phone Number | 6315985864 |
| Hospital Affiliation Ccn 1 | 330286 |
| Hospital Affiliation Lbn 1 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 330141 |
| Hospital Affiliation Lbn 2 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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