Healthcare Provider Details

I. General information

NPI: 1760069967
Provider Name (Legal Business Name): GABRIELLA ARTH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 10TH AVE
BROOKLYN NY
11219-2916
US

IV. Provider business mailing address

128 FOUNDERS PATH
CALVERTON NY
11933-2000
US

V. Phone/Fax

Practice location:
  • Phone: 347-393-0945
  • Fax:
Mailing address:
  • Phone: 347-393-0945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number332467
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number332467
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: