Provider Demographics
NPI:1760502876
Name:GABAI, CELESTE G (DC, MS, ATC)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:G
Last Name:GABAI
Suffix:
Gender:F
Credentials:DC, MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 BARN RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAKE PLACID
Mailing Address - State:NY
Mailing Address - Zip Code:12946-1050
Mailing Address - Country:US
Mailing Address - Phone:518-302-1951
Mailing Address - Fax:
Practice Address - Street 1:55 BARN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LAKE PLACID
Practice Address - State:NY
Practice Address - Zip Code:12946-1050
Practice Address - Country:US
Practice Address - Phone:518-302-1951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0013782255A2300X
NJ38MC00677000111N00000X
NYX011918-1111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No111N00000XChiropractic ProvidersChiropractor