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NPI Code Detail

MEDICARE: GABRIEL REBICK M.D., M.P.H.

MEDICARE:   GABRIEL  REBICK  M.D., M.P.H.
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
1207RI0200XInfectious Disease Physician274637NY

General Provider Information

NPI Number : 1831351212
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL REBICK M.D., M.P.H.
Provider Business Mailing Address
First Line : 450 CLARKSON AVE
Second Line : STAR PROGRAM, MSC 1240
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-2330
Fax Number :
Provider Business Practice Location Address
First Line : 450 CLARKSON AVE
Second Line : STAR PROGRAM, MSC 1240
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-2330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 08/21/2014

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