1083813802 NPI number — DR. GAVI ELYN HOLLANDER GAVI HOLLANDER, D.O.

Table of content: DR. GAVI ELYN HOLLANDER GAVI HOLLANDER, D.O. (NPI 1083813802)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083813802 NPI number — DR. GAVI ELYN HOLLANDER GAVI HOLLANDER, D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLLANDER
Provider First Name:
GAVI
Provider Middle Name:
ELYN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
GAVI HOLLANDER, D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083813802
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
216 E 29TH ST APT 5B
Provider Second Line Business Mailing Address:
APT. #5B
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-8596
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-760-3087
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NEW YORK UNIVERSITY, STUDENT HEALTH CENTER
Provider Second Line Business Practice Location Address:
726 BROADWAY, ROOM 476
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-998-4780
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  239085 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com