Organization
GABRIEL F. DEANGELIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL FRANCIS DEANGELIS MD (PRESIDENT)
(718) 657-8171
Entity
Organization
Contact information
Practice address
16215 HIGHLAND AVE, 1F, JAMAICA, NY 11432-3452
(718) 657-8171
(718) 657-0548
Mailing address
16215 HIGHLAND AVE, 1F, JAMAICA, NY 11432-3452
(718) 657-8171
(718) 657-0548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
099931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475721
EMPIRE
NY
01
—
5424948002
CIGNA
NY
01
—
OC3405
HEALTHNET
NY
Enumeration date
07/13/2008
Last updated
09/09/2008
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