# GABRIEL F. DEANGELIS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578727194
- **Authorized official:** DR. GABRIEL FRANCIS DEANGELIS MD (PRESIDENT)
- **Authorized official phone:** (718) 657-8171

## Contact information

- **Practice address:** 16215 HIGHLAND AVE, 1F, JAMAICA, NY 11432-3452
- **Practice address phone:** (718) 657-8171
- **Practice address fax:** (718) 657-0548
- **Mailing address:** 16215 HIGHLAND AVE, 1F, JAMAICA, NY 11432-3452
- **Mailing address phone:** (718) 657-8171
- **Mailing address fax:** (718) 657-0548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 099931 | NY | Yes |

## Other

- **Enumeration date:** 07/13/2008
- **Last updated:** 09/09/2008