Individual
GAVIN SETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2020
Mailing address
123 EVERETT RD, ALBANY, NY 12205-1407
(518) 701-2000
(518) 701-2020
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
191506
NY
207YS0123X
Facial Plastic Surgery Physician
1915061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00151895
RR MEDICARE
NY
Enumeration date
07/03/2005
Last updated
10/03/2019
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