Provider Demographics
NPI:1265443600
Name:GABLER, JAMES O (RPA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:O
Last Name:GABLER
Suffix:
Gender:M
Credentials:RPA-C
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Other - Credentials:
Mailing Address - Street 1:9 CAREY RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-7880
Mailing Address - Country:US
Mailing Address - Phone:518-761-0300
Mailing Address - Fax:518-824-2388
Practice Address - Street 1:1019 WICKER ST
Practice Address - Street 2:
Practice Address - City:TICONDEROGA
Practice Address - State:NY
Practice Address - Zip Code:12883-1039
Practice Address - Country:US
Practice Address - Phone:518-761-0300
Practice Address - Fax:518-824-2390
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2022-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY002024363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02174860Medicaid
NY02174860Medicaid