Provider Demographics
NPI:1043260581
Name:GABAY, THERESA M (APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:M
Last Name:GABAY
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
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Mailing Address - Street 1:83 SHETLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-4742
Mailing Address - Country:US
Mailing Address - Phone:845-638-6284
Mailing Address - Fax:845-638-6284
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1997
Practice Address - Country:US
Practice Address - Phone:201-996-5251
Practice Address - Fax:201-968-0163
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NO07103100163WN0800X
NJ26NJ00010900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience