Individual
DR. GABRIELLE MARIE CHASSAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
173 MINEOLA BLVD, SUITE 101, MINEOLA, NY 11501-2528
(516) 663-9494
(516) 663-2835
Mailing address
173 MINEOLA BLVD, SUITE 101, MINEOLA, NY 11501-2528
(516) 663-9494
(516) 663-2835
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
257671
NY
2084N0600X
Clinical Neurophysiology Physician
257671
NY
Other
Enumeration date
06/29/2010
Last updated
03/05/2021
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