DR. Edison Genaro Gavilanes, MD

NPI #1992967731 in Amityville, New York

Provider Information

NPI Number: 1992967731
Entity Type: Individual
Name: DR. Edison Genaro Gavilanes, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Pulmonary Disease
Credential: MD
Enumeration Date: Jul 1, 2008
Last Updated: Apr 5, 2020

Practice Location

Address: 317 BROADWAY STE A
City: Amityville
State: New York
ZIP Code: 11701-2770
Phone: (631) 598-5864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary

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