Provider Demographics
NPI:1174895973
Name:FURIA, GABRIELLE NICOLE (GABRIELLE FURIA, LPN)
Entity type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:NICOLE
Last Name:FURIA
Suffix:
Gender:F
Credentials:GABRIELLE FURIA, LPN
Other - Prefix:MS
Other - First Name:GABRIELLE
Other - Middle Name:NICOLE
Other - Last Name:FURIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GABRIELLE FURIA, LPN
Mailing Address - Street 1:19 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1223
Mailing Address - Country:US
Mailing Address - Phone:631-656-6967
Mailing Address - Fax:
Practice Address - Street 1:19 MONROE ST
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1223
Practice Address - Country:US
Practice Address - Phone:631-656-6967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306715164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse