Carlson, Gabrielle
Carlson, Gabrielle is an individual health care provider with primary practice located at Suny Putnam Hall Rm 103 , Stony Brook NY 11794-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Carlson, Gabrielle can be contacted via phone (631) 632-8850.Contact Information
Primary practice address
Suny Putnam Hall Rm 103
Stony Brook NY 11794-0001
Phone: (631) 632-8850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 163458 | New York |
Profile Details
| NPI number | 1528008158 |
|---|---|
| LBN Legal business name | Carlson, Gabrielle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Dec 2nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528008158 | NPPES |
| New York | MEDICAID | 00916138 |
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