Provider Demographics
NPI:1679107932
Name:GABRIEL M FERREIRA MD PC
Entity type:Organization
Organization Name:GABRIEL M FERREIRA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:VARLOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-323-6361
Mailing Address - Street 1:4966 BROADWAY STE 1&2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2318
Mailing Address - Country:US
Mailing Address - Phone:212-304-2020
Mailing Address - Fax:212-304-2950
Practice Address - Street 1:4966 BROADWAY STE 1&2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2318
Practice Address - Country:US
Practice Address - Phone:212-897-1923
Practice Address - Fax:212-897-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty