Provider Demographics
NPI:1790526499
Name:GBIZIE, MAHI THIERRY CARL
Entity type:Individual
Prefix:MR
First Name:MAHI THIERRY
Middle Name:CARL
Last Name:GBIZIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 MONROE AVE APT 5E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-7198
Mailing Address - Country:US
Mailing Address - Phone:347-854-6523
Mailing Address - Fax:
Practice Address - Street 1:1771 MONROE AVE APT 5E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7198
Practice Address - Country:US
Practice Address - Phone:347-854-6523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company