Individual
GABRIEL E YACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 701-1530
(716) 701-1535
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2024031248
MO
207L00000X
Anesthesiology Physician
260092-1
NY
207L00000X
Anesthesiology Physician
P5248
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2024031248
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
260092
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
P5248
TX
Other
Enumeration date
04/22/2011
Last updated
10/03/2024
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