Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Island Pulmonary and Critical Care PLLC

Organization Pulmonary Disease Physician · NPI 1396543351

Island Pulmonary and Critical Care PLLC is a Pulmonary Disease Physician in Lake Grove, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

50 Southview Cir
Lake Grove, NY 11755-2239
Phone: (631) 730-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1396543351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edison Gavilanes — Owner · (631) 730-7375
NPI enumeratedMarch 5, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address50 Southview Cir, Lake Grove, NY 11755-2239