Vavilis, George Nicholas
Vavilis, George Nicholas is an sole proprietor health care provider with primary practice located at 501A W Montauk Hwy , West Babylon NY 11704-8308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Vavilis, George Nicholas can be contacted via phone (631) 587-0574.Contact Information
Primary practice address
501A W Montauk Hwy
West Babylon NY 11704-8308
Phone: (631) 587-0574
Fax: (631) 422-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 289680 | New York |
Profile Details
| NPI number | 1457791063 |
|---|---|
| LBN Legal business name | Vavilis, George Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2013 |
| Last updated | Apr 25th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457791063 | NPPES |
| Kentucky | MEDICAID | 1457791063 |
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