| Gabrielli Gorospe Md Pllc | |
|
5 Pine West Plz Suite 512 Albany NY 12205-5593 | |
| (518) 730-2014 | |
| Not Available |
| Full Name | Gabrielli Gorospe Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Pine West Plz, Albany, New York |
| Authorized Official Name and Position | Gabrielli Gorospe (PSYCHIATRIST) |
| Authorized Official Contact | 5189562121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielli Gorospe Md Pllc 5 Pine West Plz Suite 512 Albany NY 12205-5593 Ph: (518) 730-2014 | Gabrielli Gorospe Md Pllc 5 Pine West Plz Suite 512 Albany NY 12205-5593 Ph: (518) 730-2014 |
| NPI Number | 1184018475 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 0941599096 |
|---|---|
| Medicare Enrollment ID | O20160513000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184018475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 262450 (New York) | Primary |
| Provider Name | Gabrielli Encarnacion Gorospe-huber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962662031 PECOS PAC ID: 3476842527 Enrollment ID: I20160513000394 |
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