Basic Information
| Provider Information | |||||||||
| NPI: | 1619943875 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARIOLA | ||||||||
| FirstName: | GABRIEL | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 W MONTAUK HWY | ||||||||
| Address2: | |||||||||
| City: | HAMPTON BAYS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 119463510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6317284500 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 240 W MONTAUK HWY | ||||||||
| Address2: | |||||||||
| City: | HAMPTON BAYS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 119463510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6317284500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 151856 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.