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Individual

GABRIEL BIRKBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
412 HAMMOCKS DR, ORCHARD PARK, NY 14127-1685
(716) 225-0914
Mailing address
412 HAMMOCKS DR, ORCHARD PARK, NY 14127-1685
(716) 225-0914

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
014849
NY
101Y00000X
Counselor
NY

Other

Enumeration date
06/16/2022
Last updated
06/12/2024
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