Provider Demographics
NPI:1841827235
Name:JAVORSKY, EUGENE (MD, MPH)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:JAVORSKY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 OCEAN PKWY RM 4N98
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7791
Mailing Address - Country:US
Mailing Address - Phone:718-616-3000
Mailing Address - Fax:718-616-4388
Practice Address - Street 1:2601 OCEAN PKWY RM 4N98
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7791
Practice Address - Country:US
Practice Address - Phone:718-616-3000
Practice Address - Fax:718-616-4388
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2024-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY329563207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine