Individual
ALEX GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24108 140TH AVE, ROSEDALE, NY 11422-2022
(718) 949-0146
Mailing address
24108 140TH AVE, ROSEDALE, NY 11422-2022
(718) 949-0146
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015926
NY
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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