Individual
MICHAEL GAVALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-3720
(631) 444-0580
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0580
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
304603
NY
Other
Enumeration date
04/15/2014
Last updated
06/08/2020
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