Organization
NICK H GABRIEL DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK H GABRIEL DO (OWNER)
(631) 862-3801
Entity
Organization
Contact information
Practice address
48 ROUTE 25A, SUITE 104, SMITHTOWN, NY 11787-1431
(631) 862-3801
(631) 862-3068
Mailing address
48 ROUTE 25A, SUITE 104, SMITHTOWN, NY 11787-1431
(631) 862-3801
(631) 862-3068
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200259
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02126956
—
NY
Enumeration date
02/09/2010
Last updated
02/09/2010
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