Provider / Organization | NPI | Date Certified |
---|---|---|
GABRIEL RAKOVSKY | 1578143889 | 2021-04-11 |
Gabriel Rakovsky is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578143889. Registration indicates Gabriel Rakovsky is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Gabriel Rakovsky DDS |
Practice Office Address | 121 DEKALB AVE BROOKLYN, NY US |
Practice Office Telephone | 7182506604 |
Mailing Address | 121 DEKALB AVE BROOKLYN, NY 112015425 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |