Provider Demographics
NPI:1437197241
Name:GABRYS, JENNIFER BARBARA (PT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BARBARA
Last Name:GABRYS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4707
Mailing Address - Country:US
Mailing Address - Phone:718-921-9721
Mailing Address - Fax:718-921-9349
Practice Address - Street 1:383 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4701
Practice Address - Country:US
Practice Address - Phone:718-941-7500
Practice Address - Fax:718-941-0702
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026630-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist