Gil Sares, Giovanny Fernando

Gil Sares, Giovanny Fernando is an individual health care provider with primary practice located at 87 S Ocean Ave , Patchogue NY 11772-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gil Sares, Giovanny Fernando can be contacted via phone (631) 569-5335.

Contact Information

Primary practice address
87 S Ocean Ave Patchogue NY 11772-3702
Fax: (631) 569-5334
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME113127 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 284448 New York

Profile Details

NPI number 1477815843
LBN Legal business name Gil Sares, Giovanny Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Nov 5th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477815843 NPPES
Florida MEDICAID 006377600

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