Gaboriau, Henri P
Gaboriau, Henri P is an individual health care provider with primary practice located at 181 Maple St Ste A , Massena NY 13662-1052. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Gaboriau, Henri P can be contacted via phone (315) 842-3024.Contact Information
Primary practice address
181 Maple St Ste A
Massena NY 13662-1052
Phone: (315) 842-3024
Fax: (315) 842-3035
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD00037350 | Washington |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 289125 | New York |
Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 289125 | New York |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 289125 | New York |
Profile Details
NPI number | 1225061849 |
---|---|
LBN Legal business name | Gaboriau, Henri P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2006 |
Last updated | Oct 3rd, 2018 - about 7 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 | 1225061849 | NPPES |
New York | MEDICAID | 04861712 |
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