Thamara Gabriel
Individual provider Active NPI Licensed Practical Nurse · Haverstraw, NY
NPI 1043792203 · NPPES record last updated Sep 5, 2018
Key facts
- NPI
- 1043792203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 3253491 (NY)
- Practice address
- 68 Village ML
Haverstraw, NY 10927-1065 - Phone
- (845) 598-6672
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3253491 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 3253491 | NY | Yes |
Addresses
Primary practice location
68 Village ML
Haverstraw, NY 10927-1065
Mailing address
68 Village ML
Haverstraw, NY 10927-1065
Phone (845) 598-6672
Other providers in Haverstraw, NY
- Sandra Myriam Fefer-Sadler
- Barbara Anne Fitzula
- Rhea Fletcher
- Patricia Foyder-Devoe
- Full Support Inc
- Maria Angelica Garcia
- Green Hills Estate, LLC
- Green Hills Estate, LLC
- Stanley Greenberg
- Lorelei Theresa Greene Tinston
All providers in Haverstraw, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.