Healthcare Provider Details

I. General information

NPI: 1962396929
Provider Name (Legal Business Name): MICHAEL CRAIG GABAY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 E FORDHAM RD
BRONX NY
10458-5002
US

IV. Provider business mailing address

463 N HIGHLAND AVE
MERION STATION PA
19066-1709
US

V. Phone/Fax

Practice location:
  • Phone: 718-933-8400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number065818
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: