Provider Demographics
NPI:1700907292
Name:GABRIEL, GUNY (MD)
Entity Type:Individual
Prefix:DR
First Name:GUNY
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LIVINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2417
Mailing Address - Country:US
Mailing Address - Phone:718-323-5582
Mailing Address - Fax:
Practice Address - Street 1:259 BRISTOL ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5540
Practice Address - Country:US
Practice Address - Phone:718-459-6209
Practice Address - Fax:718-732-2548
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161913-1208600000X
NY161913174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00945208Medicaid
NY161913OtherHIP
NY170026OtherELDER PLAN
NY000291040201OtherHEALTH PLUS
NYP2389083OtherOXFORD HEALTH PLAN
NYGG066D2030OtherBCBS
NY10211944OtherCAREPLUS
NY170026OtherELDER PLAN
NYA63672Medicare UPIN
NYGG066D2010Medicare ID - Type UnspecifiedEMPIRE MEDICARE