# GABISA MEDICAL PLLC

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

## Provider details

- **NPI number:** 1598380859
- **Authorized official:** MARCELO VENEGAS PIZARRO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (347) 524-1914

## Contact information

- **Practice address:** JFK TERMINAL 4, TERMINAL 4 ARRIVALS WEST, JAMAICA, NY 11430
- **Practice address phone:** (347) 524-1914
- **Mailing address:** 659 GLENWOOD AVE, TEANECK, NJ 07666-6532
- **Mailing address phone:** (347) 524-1914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2020
- **Last updated:** 01/24/2021