Individual provider · Type 1 NPI
John Richard Gavencak, MD
Allergy Physician · East Rockaway, NY
NPI number
1821089392
Active
Practice location
400 Atlantic Ave
East Rockaway, NY 11518-1433
Fax (516) 593-2075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | 124874 (NY) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1821089392
John Richard Gavencak, MD's National Provider Identifier is 1821089392, issued on Nov 2, 2005. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in East Rockaway, NY. The record was last updated on Jul 13, 2026.