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NPI Code Detail

MEDICARE: LYNDSAY GABRIELE PA-C, ATC

MEDICARE:   LYNDSAY  GABRIELE  PA-C, ATC
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
1363A00000XPhysician Assistant035353NY
22255A2300XAthletic Trainer002883NY

General Provider Information

NPI Number : 1578076758
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSAY GABRIELE PA-C, ATC
Provider Business Mailing Address
First Line : 9 HAWTHORNE AVE
Second Line :
City : MERRICK
State : NY
Zip : 11566-3025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 10TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10019-1147
Country : US
Telephone Number : 212-523-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2017
Last Update Date : 03/12/2026

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Directions to “ LYNDSAY GABRIELE PA-C, ATC” Practice Location

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