Provider Demographics
NPI:1568254639
Name:GABRIEL, YEVHENIIA (DMD)
Entity type:Individual
Prefix:MS
First Name:YEVHENIIA
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:YEVHENIIA
Other - Middle Name:
Other - Last Name:HUSLIEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 MORGAN ST APT 2108
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-6272
Mailing Address - Country:US
Mailing Address - Phone:972-987-7177
Mailing Address - Fax:
Practice Address - Street 1:2 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3550
Practice Address - Country:US
Practice Address - Phone:973-399-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI030918001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice