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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043434970 | NPPES |
New York | MEDICAID | 02496528 |
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