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
Fax: (516) 734-6312
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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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