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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457791063 NPPES
Kentucky MEDICAID 1457791063

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