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NPI Code Detail

MEDICARE: HAWA GABRIEL RN

MEDICARE:   HAWA  GABRIEL  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse657288NY

General Provider Information

NPI Number : 1346750973
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAWA GABRIEL RN
Provider Business Mailing Address
First Line : 2229 NEWBOLD AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-5107
Country : US
Telephone Number : 617-735-5422
Fax Number :
Provider Business Practice Location Address
First Line : 2229 NEWBOLD AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-5107
Country : US
Telephone Number : 617-735-5422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2017
Last Update Date : 10/10/2017

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Directions to “ HAWA GABRIEL RN” Practice Location

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