Individual
DR. GULLE NAYAB AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
994 W JERICHO TPKE, SUITE 104, SMITHTOWN, NY 11787-3235
(631) 543-1440
(631) 543-1930
Mailing address
994 W JERICHO TPKE, SUITE 104, SMITHTOWN, NY 11787-3235
(631) 543-1440
(631) 543-1930
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
250584
NY
208VP0000X
Pain Medicine Physician
250584
NY
Other
Enumeration date
04/13/2009
Last updated
12/22/2023
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