# GABISA MEDICAL MA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710580550
- **Authorized official:** DR. JONATHAN KEITH JOSEPH MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (718) 915-1305

## Contact information

- **Practice address:** BOSTON LOGAN INTERNATIONAL AIRPORT, TERMINAL E (AT DOOR E107), BOSTON, MA 02128
- **Practice address phone:** (617) 874-8059
- **Practice address fax:** (347) 926-0988
- **Mailing address:** 106 W 131ST ST, NEW YORK, NY 10027-2031
- **Mailing address phone:** (718) 915-1305
- **Mailing address fax:** (347) 926-0988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 11/25/2020