Nycholle Gavilanes (NPI# 1699941971, PAC ID# 6406022862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1699941971 |
| PAC ID by PECOS | 6406022862 |
| Professional Enrollment ID | I20120106000008 |
| Full Name | Nycholle Gavilanes |
| Organization Legal Name | LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC |
| Address |
382 Rosevale Ave Ronkonkoma NY 11779-3069 |
| Phone Number | 6316670388 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678731908 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 382 Rosevale Ave, Ronkonkoma, NY 11779-3069 | 6316670388 | LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC |
| Organization Legal Name | LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicolle A Bergin | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Uma Narayana | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 15 Saint Pauls Pl, Great Neck, NY 11021-2636 |
| Hiral Patel | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Khalid Noori | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 1600 Deer Park Ave, Deer Park, NY 11729-5208 |
| Gina Ferland | Physician Assistant | Long Island Comprehensive Medical Care Pllc | 1600 Deer Park Ave, Deer Park, NY 11729-5208 |
| Jason L Schneider | General Surgery | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Mark Baginski | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Amy Wenz | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Joseph Chandrankunnel | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Jae Woo Chung | Podiatry | Long Island Comprehensive Medical Care Pllc | 1231 Deer Park Ave, North Babylon, NY 11703-3104 |
| Street Address |
382 ROSEVALE AVE |
| City | RONKONKOMA |
| State | NY |
| Zip | 11779-3069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Salvatore | Internal Medicine | City Medical of Upper East Side Pllc | 600 Portion Rd, Ronkonkoma, NY 11779-1867 |
| Patricia Payne-marsky | Clinical Social Worker | Wellqor Psychological Services Northeast, PC | 675 Portion Rd, Lake Ronkonkoma, NY 11779-1878 |
| Jeanne Squires | Clinical Social Worker | 21 Croydon Ave, Ronkonkoma, NY 11779-1947 | |
| Kristy Goodman | Physical Therapy | Team Rehab Physical Therapy PC | 958 Portion Rd, Ronkonkoma, NY 11779-1975 |
| Andrea Nomberg | General Practice | 709 Hawkins Ave, Ronkonkoma, NY 11779-2293 | |
| Suganthi Ravindran | Internal Medicine | 709 Hawkins Ave, Suite 1, Lake Ronkonkoma, NY 11779-2293 | |
| Tara Singh | Internal Medicine | Advantagecare Physicians PC | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Basavaraj V Desai | Cardiovascular Disease (cardiology) | Advantagecare Physicians PC | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Bhanumathy Vinayagasundaram | Family Medicine | Advantagecare Physicians PC | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Stephen H Ashinoff | Optometry | Eye Care Advantage Inc | 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 |
| Find all physicians in zip 11779 | |||
| City | RONKONKOMA |
| Zip Code | 11779 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RONKONKOMA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Nycholle Gavilanes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.