Provider Demographics
NPI:1750188785
Name:MICHEL, GABRIELLE M
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:M
Last Name:MICHEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3330
Mailing Address - Country:US
Mailing Address - Phone:718-909-1801
Mailing Address - Fax:
Practice Address - Street 1:1210 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3330
Practice Address - Country:US
Practice Address - Phone:718-909-1801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care