DR. ANTOINE GABRIEL (NPI# 1346371705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346371705 |
Entity Type | Individual |
Full Name | DR. ANTOINE GABRIEL |
Credential | MD |
Practice Address |
80 State Highway 310 Ste 1 Canton NY 13617-1436 |
Mailing Address |
504 Champlain St Apt 4 Ogdensburg NY 13669-1914 |
Practice Telephone | 3153862167 |
Mailing Telephone | 3153862167 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2012-06-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
245184 | NY | Allopathic & Osteopathic Physicians |
Street Address |
80 STATE HIGHWAY 310 STE 1 |
City | CANTON |
State | NY |
Zip Code | 13617-1436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043304645 | Patricia Pielnik | Psychiatry & Neurology | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2006-10-03 |
1659985158 | Tracy Hart | Peer Specialist | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2020-09-02 |
1689232860 | Randyl Shane Chase | Counselor | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2019-06-03 |
1891285631 | Brianna Kessler | Student in an Organized Health Care Education/Training Program | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2018-05-17 |
1720588742 | Lakshmi Nair | Registered Nurse | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2018-02-16 |
1669879060 | Kaylie E. Deshane | Counselor | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2014-12-01 |
1447667878 | Kristina Beth Kelly-snow | Counselor | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2014-07-17 |
1376827196 | Gidget Q.v. Rafus-rousell | Counselor | 80 State Highway 310 Ste 1, St. Lawrence County Community, Canton, NY 13617-1436 | 2011-09-29 |
1922288844 | Cynthia J Provow | Obstetrics & Gynecology | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2007-11-08 |
1376664425 | Sheri L Page | Registered Nurse | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2007-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
Find all providers in zip 13617 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447293147 | Thomas Lehman Reynolds | Psychiatry & Neurology | 4368 Dressler Rd. Nw, Canton, OH 44718 | 2006-06-13 |
1285764274 | Susan Ishiyama | Psychiatry & Neurology | 919 2nd St Ne, Canton, OH 44704-1132 | 2007-03-07 |
1285723692 | Gene Gilbert | Psychiatry & Neurology | 1455 Harrison Ave Nw, Suite 207, Canton, OH 44708-2621 | 2006-10-12 |
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1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.