Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N600884-1 | NY |
NPI | 1093178204 |
---|---|
Provider Name | Dr. Gabrielle Beth Laurenti |
First Address | New York, NY 10021-2720 |
Second Address | New York, NY 10075-1850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 23/04/2019 |