MEDICARE: MS. GABRIELA ZAMBRANO-ECONOMICO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		NY
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1194153056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GABRIELA ZAMBRANO-ECONOMICO

Provider Business Mailing Address
First Line	:	982 WAREHOUSE RD APT 20201
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-3568
Country	:	US
Telephone Number	:	845-264-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	982 WAREHOUSE RD APT 20201
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-3568
Country	:	US
Telephone Number	:	845-264-0554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	07/13/2021

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