John P. Gavin
Pediatric Otolaryngology
35 Hackett Blvd
Albany
, New York 12208-3420
John P. Gavin
Pediatric Otolaryngology
35 Hackett Blvd
Albany
, New York 12208-3420
(518) 262-5184
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- John P. Gavin
- 123 Everett Rd
- Albany, NY
- Zip : 12205-1407
- Fax : (518) 262-5184
- Phone : (518) 262-5575
Second Address
- John P. Gavin
- 35 Hackett Blvd
- Albany, NY
- Zip : 12208-3420
- Phone : (518) 262-5575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 244142 | NY |
National Provider Identifier
| NPI | 1023211745 |
|---|---|
| Provider Name | John P. Gavin |
| First Address | Albany, NY 12205-1407 |
| Second Address | Albany, NY 12208-3420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2007 |
| Last Update Date | 04/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02883094 | (05) | NY |
| 244142 | NYS LICENSE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.