Provider Demographics
NPI:1700973989
Name:GABBAY, MONA (MD)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:GABBAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 SEVENTH AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1301
Mailing Address - Country:US
Mailing Address - Phone:914-632-7999
Mailing Address - Fax:914-632-7999
Practice Address - Street 1:145 SEVENTH AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-1301
Practice Address - Country:US
Practice Address - Phone:914-632-7999
Practice Address - Fax:914-632-7999
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194322207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine