Gavencak, John Richard
Gavencak, John Richard is an individual health care provider with primary practice located at 400 Atlantic Ave , East Rockaway NY 11518-1433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Gavencak, John Richard can be contacted via phone (516) 599-2732.Contact Information
Primary practice address
400 Atlantic Ave
East Rockaway NY 11518-1433
Phone: (516) 599-2732
Fax: (516) 593-2075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 124874 | New York |
Profile Details
| NPI number | 1821089392 |
|---|---|
| LBN Legal business name | Gavencak, John Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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