MEDICARE: DR. JOSEPH PAUL GABRYSZEWSKI DPM

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
1	213E00000X	Podiatrist	4023-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	547284	OTHER	NY	MVP

General Provider Information

NPI Number	:	1649278862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH PAUL GABRYSZEWSKI DPM

Provider Business Mailing Address
First Line	:	3 KIRCHNER AVE
Second Line	:
City	:	HYDE PARK
State	:	NY
Zip	:	12538-1208
Country	:	US
Telephone Number	:	845-229-0092
Fax Number	:	845-229-0093

Provider Business Practice Location Address
First Line	:	3 KIRCHNER AVE
Second Line	:
City	:	HYDE PARK
State	:	NY
Zip	:	12538-1208
Country	:	US
Telephone Number	:	845-229-0092
Fax Number	:	845-229-0093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	03/07/2023

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