Individual
JOHN P. GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 NEW SCOTLAND AVE FL 2, ALBANY, NY 12208-3403
(518) 262-6240
(518) 262-4223
Mailing address
50 NEW SCOTLAND AVE FL 2, ALBANY, NY 12208-3403
(518) 262-6240
(518) 262-4223
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
244142
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02883094
—
NY
01
—
244142
NYS LICENSE
NY
Enumeration date
06/08/2007
Last updated
05/23/2022
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