Individual
GABRIELA ECHENIQUE SUBERVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3332 BROADWAY, NEW YORK, NY 10031-8732
(212) 694-2000
Mailing address
3332 BROADWAY, NEW YORK, NY 10031-8732
(212) 694-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
289707
NY
Other
Enumeration date
10/30/2014
Last updated
03/17/2018
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