De Vos, Gabriele Selma

De Vos, Gabriele Selma is an individual health care provider with primary practice located at 2510 Bouck Ave , Bronx NY 10469-5605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. De Vos, Gabriele Selma can be contacted via phone (718) 918-3060.

Contact Information

Primary practice address
2510 Bouck Ave Bronx NY 10469-5605
Fax: (718) 918-4469
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 240198 New York

Profile Details

NPI number 1992863146
LBN Legal business name De Vos, Gabriele Selma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992863146 NPPES
New York MEDICAID 02718385

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