Provider Demographics
NPI:1124061320
Name:GABRYEL, TIMOTHY FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:FRANCIS
Last Name:GABRYEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1900 RIDGE RD
Mailing Address - Street 2:STE 130
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3332
Mailing Address - Country:US
Mailing Address - Phone:716-675-0707
Mailing Address - Fax:716-674-1836
Practice Address - Street 1:1900 RIDGE RD
Practice Address - Street 2:STE 130
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3332
Practice Address - Country:US
Practice Address - Phone:716-675-0707
Practice Address - Fax:716-961-3706
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131764207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000507778001OtherBCBS
0401535OtherIHA
00010059001OtherUNIVERA
0401535OtherIHA
B36093Medicare UPIN