Individual
DR. GABRIEL E. AGBIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1162 EASTERN PKWY, BROOKLYN, NY 11213-4108
(718) 221-0333
(718) 221-1087
Mailing address
40 CANDLEWOOD PATH, DIX HILLS, NY 11746-5306
(631) 462-2240
(631) 462-2445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
193569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01571420
—
NY
Enumeration date
08/31/2006
Last updated
07/08/2007
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