Provider Demographics
NPI:1083718662
Name:GAWLIK, EWA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:EWA
Middle Name:MARIA
Last Name:GAWLIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:14 MCGUINNESS BLVD S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-4997
Mailing Address - Country:US
Mailing Address - Phone:718-349-0671
Mailing Address - Fax:718-349-9511
Practice Address - Street 1:14 MCGUINNESS BLVD S
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-4997
Practice Address - Country:US
Practice Address - Phone:718-349-0671
Practice Address - Fax:718-349-9511
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY211100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01862899Medicaid
4C5963OtherHEALTHNET
5288708OtherAETNA PPO
3130608OtherAETNA HMO
371457434OtherBEECH STREET CORPORATION
G74151OtherHEALTHCARE PARTNERS
1175788OtherFIRST HEALTH
371457434Other1199 NATIONAL BENEFIT FUN
55348677OtherMULTIPLAN
G74151OtherHIP
37017OtherMASTERCARE
BK0087304OtherAMERICHOICE
2697244OtherGHI
371457434OtherCHOICE CARE NETWORK
371457434OtherMAGNACARE
447850OtherNEW ENGLAND
677Z01OtherEMPIRE BCBS
296430201OtherHEALTH PLUS
296430201OtherHEALTH PLUS
G74151Medicare UPIN