Individual
DR. GARY I POVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1561 ROUTE 9W, LAKE KATRINE, NY 12449-5410
(845) 231-5600
(845) 231-5489
Mailing address
600 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2281
(845) 231-5600
(845) 231-5489
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
120418
NY
Other
Enumeration date
06/02/2005
Last updated
09/24/2014
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