Giovanny Fernando Gil Sares, M.D.
Family Medicine in Patchogue, NY. Individual provider (NPI-1).
NPI number1477815843
StatusActive
Last updated in NPPESNov 5, 2016
Details
- NPI
- 1477815843
- Entity type
- Individual (NPI-1)
- Name
- Giovanny Fernando Gil Sares
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2012
- Last updated
- Nov 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 284448 | NY | Yes |
| 207Q00000X | Family Medicine | ME113127 | FL |
Practice location
87 S Ocean AvePatchogue, NY 11772-3702
Phone 631-569-5335 · Fax 631-569-5334
Mailing address
4626 67th StWoodside, NY 11377-5959
Phone 718-593-3883
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