Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Island Pulmonary and Critical Care PLLC

Organization Pulmonary Disease Physician · NPI 1396543351

Island Pulmonary and Critical Care PLLC provides Pulmonary Disease Physician services 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.

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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