| John P Gavin, MD | |
|
50 New Scotland Ave Fl 2, Albany, NY 12208-3403 | |
| (518) 262-6240 | |
| (518) 262-4223 |
| Full Name | John P Gavin |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Pediatric Otolaryngology |
| Location | 50 New Scotland Ave Fl 2, Albany, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023211745 | NPI | - | NPPES |
| 02883094 | Medicaid | NY | |
| 244142 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 244142 (New York) | Primary |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
| Mailing Address | Practice Location Address |
|---|---|
| John P Gavin, MD 50 New Scotland Ave Fl 2, Albany, NY 12208-3403 Ph: (518) 262-6240 | John P Gavin, MD 50 New Scotland Ave Fl 2, Albany, NY 12208-3403 Ph: (518) 262-6240 |
Gavin Setzen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 123 Everett Rd, Albany, NY 12205 Phone: 518-701-2000 Fax: 518-701-2020 | |
Lawrence S Kaufman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 123 Everett Rd, Albany, NY 12205 Phone: 518-701-2000 Fax: 518-701-2020 | |
Robert J Scagnelli, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 123 Everett Rd, Albany, NY 12205 Phone: 518-701-2085 Fax: 518-701-2020 | |
Allison Dawn Lupinetti, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 35 Hackett Blvd, Albany, NY 12208 Phone: 518-262-5575 Fax: 518-262-5184 | |
Dr. Jason Mouzakes, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 35 Hackett Blvd, Albany, NY 12208 Phone: 518-262-5575 Fax: 518-262-5184 | |
Dr. Stanley Shapshay, M.D Otolaryngology Medicare: Medicare Enrolled Practice Location: 35 Hackett Blvd, Albany, NY 12208 Phone: 518-262-5575 Fax: 518-262-5184 |