Individual
DR. PAVEL GOZENPUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572
(516) 632-3200
Mailing address
247 WHITMAN DR, BROOKLYN, NY 11234-6934
(718) 344-4474
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
265898
NY
207RI0200X
Infectious Disease Physician
Primary
265898
NY
2086S0102X
Surgical Critical Care Physician
265898
NY
Other
Enumeration date
07/01/2009
Last updated
10/31/2024
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