Provider Demographics
NPI:1609076215
Name:GABRIEL, CHRISTIE R (LAC)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:R
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N CENTRAL AVE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1903
Mailing Address - Country:US
Mailing Address - Phone:914-830-3892
Mailing Address - Fax:
Practice Address - Street 1:111 N CENTRAL AVE
Practice Address - Street 2:SUITE 360
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1903
Practice Address - Country:US
Practice Address - Phone:914-830-3892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-21
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003086-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist