Provider Demographics
NPI:1922360825
Name:GABBIN, CATHERINE PATRICIA (SEIT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:PATRICIA
Last Name:GABBIN
Suffix:
Gender:F
Credentials:SEIT
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:PATRICIA
Other - Last Name:GABBIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SEIT
Mailing Address - Street 1:439 HICKS ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5929
Mailing Address - Country:US
Mailing Address - Phone:212-203-9797
Mailing Address - Fax:
Practice Address - Street 1:439 HICKS ST APT 4B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5929
Practice Address - Country:US
Practice Address - Phone:212-203-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY385969101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist