Provider Demographics
NPI:1114945946
Name:GABRILOVE, JANICE L (MD)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:L
Last Name:GABRILOVE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:BOX 3000
Mailing Address - Street 2:1 GUSTAVE L LEVY PLACE MOUNT SINAI DEPT OF MEDICINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-987-3100
Mailing Address - Fax:212-731-5210
Practice Address - Street 1:1190 5TH AVENUE GUGGENHEIM PAVILL
Practice Address - Street 2:MOUNT SINAI HOSPITAL-RUTTENBERG TREATMENT CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-6756
Practice Address - Fax:212-423-0522
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY140741207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
26D371Medicare ID - Type Unspecified
B11784Medicare UPIN