Gavilanes, Nycholle Lynne
Gavilanes, Nycholle Lynne is an sole proprietor health care provider with primary practice located at 8 Technology Drive Suite 104, East Setauket NY 11733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gavilanes, Nycholle Lynne can be contacted via phone (516) 704-7447.Contact Information
Primary practice address
8 Technology Drive Suite 104
East Setauket NY 11733
Phone: (516) 704-7447
Fax: (516) 734-6312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 263634 | New York |
Profile Details
| NPI number | 1699941971 |
|---|---|
| LBN Legal business name | Gavilanes, Nycholle Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2008 |
| Last updated | Feb 8th, 2023 - about 2 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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