Individual
DOUGLAS GABRIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 MIDDLE COUNTRY RD, CORAM, NY 11727-4411
(631) 854-2252
Mailing address
28 WASHINGTON AVE, WEST SAYVILLE, NY 11796-1605
(631) 589-6755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
161587
NY
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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