Henri P Gaboriau
Dermatologist Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
181 Maple St Ste A
Massena
, New York 13662-1052
Henri P Gaboriau
Dermatologist Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
181 Maple St Ste A
Massena
, New York 13662-1052
(315) 769-4353
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About
Features
Specialties
- Dermatologist
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Henri P Gaboriau
- 1 Hospital Dr
- Massena, NY
- Zip : 13662-1056
- Fax : (315) 769-4353
- Phone : (315) 769-4317
Second Address
- Henri P Gaboriau
- 181 Maple St Ste A
- Massena, NY
- Zip : 13662-1052
- Fax : (315) 842-3035
- Phone : (315) 842-3024
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 289125 | NY |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 289125 | NY |
| N | 207YS0123X | Facial Plastic Surgeon | 289125 | NY |
National Provider Identifier
| NPI | 1225061849 |
|---|---|
| Provider Name | Henri P Gaboriau |
| First Address | Massena, NY 13662-1056 |
| Second Address | Massena, NY 13662-1052 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2006 |
| Last Update Date | 03/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04861712 | (05) | NY |
| G90321 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.