Individual
JOHN GABRIEL PASSARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 231-5421
Mailing address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 231-5421
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
140081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02492253
—
NY
Enumeration date
08/30/2006
Last updated
10/14/2025
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