Individual
DR. GEORGE NICHOLAS VAVILIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501A W MONTAUK HWY, WEST BABYLON, NY 11704-8308
(631) 587-0574
(631) 422-1055
Mailing address
501A W MONTAUK HWY, WEST BABYLON, NY 11704-8308
(631) 587-0574
(631) 422-1055
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
289680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457791063
—
KY
Enumeration date
06/27/2013
Last updated
04/25/2020
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