National Provider Identifier
Michael Joseph Gavin, MD
Michael Joseph Gavin, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Pittsford, NY and a listed phone number of (585) 758-0800.
Profile Overview
- NPI
- 1467741686
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 29, 2011
- Last Updated
- April 17, 2017
Practice Location
- 167 Sullys Trl
- Ste 100
- Pittsford, NY 14534-4567
Phone: (585) 758-0800
Mailing Address
- 601 Elmwood Ave
- Box 278980
- Rochester, NY 14642-0001
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1467741686
- Entity Type
- Individual
- Last Name
- Gavin
- First Name
- Michael
- Middle Name
- Joseph
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 278980
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 758-0800
- Mailing Fax
- (585) 381-1577
- Practice Street Address
- 167 Sullys Trl
- Practice Address Line 2
- Ste 100
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-4567
- Practice Country
- US
- Practice Phone
- (585) 758-0800
- Practice Fax
- (585) 381-1577
- Enumeration Date
- March 29, 2011
- Last Updated
- April 17, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 04186398 (NY)