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Organization

MBODY MINIMALLY INVASIVE SURGERY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICK H GABRIEL D.O. (C.E.O. - MANAGING PARTNER)
(631) 591-3992
Entity
Organization

Contact information

Practice address
365 COUNTY ROAD 39A, SUITE 11, SOUTHAMPTON, NY 11968-5284
(631) 591-3992
(631) 591-0206
Mailing address
365 COUNTY ROAD 39A, SUITE 11, SOUTHAMPTON, NY 11968-5284
(631) 591-3992
(631) 591-0206

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200259
NY

Other

Enumeration date
10/22/2010
Last updated
11/02/2011
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