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1801618830 NPI number — STEPHEN MICHAEL GABOR PA-C

NPI Number: 1801618830
Health Care Provider/Practitioner: STEPHEN MICHAEL GABOR PA-C

Information about “1801618830” NPI (STEPHEN MICHAEL GABOR PA-C) exists in 1801618830 in HTML format HTML  |  1801618830 in plain Text format TXT  |  1801618830 in PDF (Portable Document Format) PDF  |  1801618830 in an XML format XML  formats.

NPI Number : 1801618830 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801618830",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GABOR",
    "FirstName": "STEPHEN",
    "MiddleName": "MICHAEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "98 NORWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMBURG",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14075-4462",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-574-2857",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "206 S ELMWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUFFALO",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14201-2398",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-847-2441",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/30/2024",
    "LastUpdateDate": "02/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "032947",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "032947",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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