Individual
DR. GABRIEL EVAN SENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
719 W 181ST ST, NEW YORK, NY 10033-4731
(212) 795-1040
Mailing address
330 E 46TH ST APT 3M, NEW YORK, NY 10017-3047
(914) 714-1352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062590-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2021
Last updated
10/25/2022
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