Healthcare Provider Details

I. General information

NPI: 1598570970
Provider Name (Legal Business Name): MEIR GABAIE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W MERRICK RD
FREEPORT NY
11520-4144
US

IV. Provider business mailing address

314 BEACH 13TH ST
FAR ROCKAWAY NY
11691-5152
US

V. Phone/Fax

Practice location:
  • Phone: 310-882-1580
  • Fax:
Mailing address:
  • Phone: 310-882-1580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number065720
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: