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Individual

DR. FIRMIN (F) FORREST GABRIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
960 WESTERN AVENUE, ALBANY, NY 12203
(518) 482-4459
(518) 482-1465
Mailing address
960 WESTERN AVENUE, ALBANY, NY 12203
(518) 482-4459
(518) 482-1465

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
096580-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00406444001
BLUE SHIELD
NY
05
00542998
NY
01
10007200
GDPHP
NY
01
17178
MVP
NY
01
50965
GHI
NY
01
51376
BLUE CROSS
NY
01
80-13963
EMPIRE
NY
Enumeration date
09/05/2006
Last updated
07/08/2007
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