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

Individual provider Internal Medicine Physician · NPI 1992967731

Dr. Edison Genaro Gavilanes, MD is an Internal Medicine in Amityville, New York. Qualified in 2007, 19 years ago. Practices with Amityville Pulmonology PLLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

317 Broadway Ste A
Amityville, NY 11701-2770
Phone: (631) 598-5864
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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 · Licence 257788 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 257788 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992967731
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESApril 5, 2020
Certification dateApril 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Amityville Pulmonology Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Amityville