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Individual

DR. GABRIEL EMIL CHOUCHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 N UNION RD, WILLIAMSVILLE, NY 14221-5367
(716) 633-6363
(716) 633-6363
Mailing address
30 N UNION RD, WILLIAMSVILLE, NY 14221-5367
(716) 633-6363
(716) 633-6363

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
117387
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000506685009
BLUECROSSBLUESHIELD
NY
05
00613507
NY
01
0708669
INDEPENDENT HEALTH
NY
Enumeration date
08/31/2005
Last updated
12/13/2007
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