Healthcare Provider Details

I. General information

NPI: 1598068389
Provider Name (Legal Business Name): GABRIEL NADEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W 57TH ST SUITE B/C
NEW YORK NY
10019-1752
US

IV. Provider business mailing address

415 W 57TH ST SUITE B/C
NEW YORK NY
10019-1752
US

V. Phone/Fax

Practice location:
  • Phone: 917-406-9683
  • Fax: 212-246-1088
Mailing address:
  • Phone: 917-406-9683
  • Fax: 212-246-1088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberX-012133
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: