Provider Demographics
NPI:1023675063
Name:GABAY, KERRIE-ANN ASHLEY (MBBS)
Entity type:Individual
Prefix:MS
First Name:KERRIE-ANN
Middle Name:ASHLEY
Last Name:GABAY
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 LENOX AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037
Mailing Address - Country:US
Mailing Address - Phone:212-939-4019
Mailing Address - Fax:212-939-4022
Practice Address - Street 1:506 LENOX AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-4019
Practice Address - Fax:212-939-4022
Is Sole Proprietor?:No
Enumeration Date:2019-05-24
Last Update Date:2020-01-03
Deactivation Date:2019-12-23
Deactivation Code:
Reactivation Date:2020-01-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program