Gustin, Gabriel

Gustin, Gabriel is an sole proprietor health care provider with primary practice located at 3769 80Th St Fl 2 , Jackson Heights NY 11372-6830. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gustin, Gabriel can be contacted via phone (718) 478-0338.

Contact Information

Primary practice address
3769 80Th St Fl 2 Jackson Heights NY 11372-6830
Phone: (718) 478-0338
Fax: (718) 673-6107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 213265 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 213265 New York

Profile Details

NPI number 1780613562
LBN Legal business name Gustin, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Dec 4th, 2023 - about last year

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 1780613562 NPPES
New York MEDICAID 01947557

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