Provider Demographics
NPI:1679107932
Name:GABRIEL M FERREIRA MD PC
Entity Type:Organization
Organization Name:GABRIEL M FERREIRA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-801-1847
Mailing Address - Street 1:14 AMSTERDAM PL APT 3G
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1474
Mailing Address - Country:US
Mailing Address - Phone:570-801-1847
Mailing Address - Fax:
Practice Address - Street 1:401 E 34TH ST APT S18H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4988
Practice Address - Country:US
Practice Address - Phone:212-897-1923
Practice Address - Fax:212-897-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty