| Gabisa Medical Pllc | |
|
Jfk Terminal 4 Terminal 4 Arrivals West Jamaica NY 11430 | |
| (347) 524-1914 | |
| Not Available |
| Full Name | Gabisa Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | Jfk Terminal 4, Jamaica, New York |
| Authorized Official Name and Position | Marcelo Venegas Pizarro (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3475241914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabisa Medical Pllc 659 Glenwood Ave Teaneck NJ 07666-6532 Ph: (347) 524-1914 | Gabisa Medical Pllc Jfk Terminal 4 Terminal 4 Arrivals West Jamaica NY 11430 Ph: (347) 524-1914 |
| NPI Number | 1598380859 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 01/24/2021 |
| Medicare PECOS PAC ID | 4587079835 |
|---|---|
| Medicare Enrollment ID | O20210218000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598380859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcelo Venegas Pizarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245431204 PECOS PAC ID: 5890687354 Enrollment ID: I20040329000637 |
| Provider Name | Sarah E. Enteen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821612623 PECOS PAC ID: 3678988938 Enrollment ID: I20210218001177 |
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