Island Pulmonary and Critical Care Pllc
NPI #1396543351 in Lake Grove, New York
Provider Information
- NPI Number
- 1396543351
- Entity Type
- Organization
- Organization Name
- Island Pulmonary and Critical Care Pllc
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- Mar 5, 2025
- Last Updated
- Apr 28, 2025
Practice Location
- Address
- 50 SOUTHVIEW CIR
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2239
- Phone
- (631) 730-7375
Authorized Official
- Name
- DR. EDISON GENARO GAVILANES, MD
- Title
- OWNER
- Phone
- (631) 730-7375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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