# GAVRIIL AGAON, M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851697619
- **Authorized official:** DR. GAVRIIL AGAON M.D. (PRESIDENT)
- **Authorized official phone:** (718) 532-3131

## Contact information

- **Practice address:** 9972 66TH RD, SUITE - LH, REGO PARK, NY 11374-4460
- **Practice address phone:** (718) 532-3131
- **Practice address fax:** (718) 997-8040
- **Mailing address:** 6715 102ND ST, APT - 7T, FOREST HILLS, NY 11375-2453
- **Mailing address phone:** (718) 275-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 222861 | NY | Yes |

## Other

- **Enumeration date:** 01/26/2011
- **Last updated:** 01/26/2011