Gavriel, Stanley

Gavriel, Stanley is an sole proprietor health care provider with primary practice located at 6536 99Th St Ste # 1D, Rego Park NY 11374-4358. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gavriel, Stanley can be contacted via phone (718) 897-6869.

Contact Information

Primary practice address
6536 99Th St Ste # 1D Rego Park NY 11374-4358
Phone: (718) 897-6869
Fax: (718) 685-2101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0293841 New York

Profile Details

NPI number 1851561328
LBN Legal business name Gavriel, Stanley
Credentials D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2008
Last updated Jun 27th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851561328 NPPES
New York Other G300000094 MEDICARE (PTAN)

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