Provider Demographics
NPI:1356397905
Name:SARA, GABRIEL ALBERT (MD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:ALBERT
Last Name:SARA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 95000-2467
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2467
Mailing Address - Country:US
Mailing Address - Phone:212-523-7580
Mailing Address - Fax:212-523-2004
Practice Address - Street 1:1000 10TH AVE
Practice Address - Street 2:DEPARTMENT OF HEMATOLOGY ONCOLOGY SUITE 11-C02
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1147
Practice Address - Country:US
Practice Address - Phone:212-523-7580
Practice Address - Fax:212-523-2004
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2015-10-15
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Provider Licenses
StateLicense IDTaxonomies
NY165083207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01073005Medicaid
NY01073005Medicaid
NYA60181Medicare UPIN