De Vos, Gabriele Selma
De Vos, Gabriele Selma is an individual health care provider with primary practice located at 2510 Bouck Ave , Bronx NY 10469-5605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. De Vos, Gabriele Selma can be contacted via phone (718) 918-3060.Contact Information
Primary practice address
2510 Bouck Ave
Bronx NY 10469-5605
Phone: (718) 918-3060
Fax: (718) 918-4469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 240198 | New York |
Profile Details
| NPI number | 1992863146 |
|---|---|
| LBN Legal business name | De Vos, Gabriele Selma |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992863146 | NPPES |
| New York | MEDICAID | 02718385 |
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