Healthcare Provider Details

I. General information

NPI: 1548595523
Provider Name (Legal Business Name): LIANA GABRIEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 FRANKLIN AVE STE 114
GARDEN CITY NY
11530-5814
US

IV. Provider business mailing address

520 FRANKLIN AVE STE 114
GARDEN CITY NY
11530-5814
US

V. Phone/Fax

Practice location:
  • Phone: 516-973-1334
  • Fax:
Mailing address:
  • Phone: 516-973-1334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number255047
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: