Gabrielle, Robert Kenneth

Gabrielle, Robert Kenneth is an individual health care provider with primary practice located at 472 Kings Hwy , Valley Cottage NY 10989-1439. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gabrielle, Robert Kenneth can be contacted via phone (845) 268-3332.

Contact Information

Primary practice address
472 Kings Hwy Valley Cottage NY 10989-1439
Phone: (845) 268-3332
Fax: (845) 268-3580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 042999 New York

Profile Details

NPI number 1043434970
LBN Legal business name Gabrielle, Robert Kenneth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
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 1043434970 NPPES
New York MEDICAID 02496528

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