Doctor Name: | MR. MICHAEL GARBE |
NPI Number: | 1124377288 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 107170217 |
Business Practice Address: | 8956 162nd St Jamaica, NY - 114325072 |
Business Phone Number: | 7182978000 |
Business Fax Number: | 7182628228 |
Mailing Address: | 6268 Ellwell Cres, REGO PARK |
State: | NY |
Postal Code: | 113744838 |
Phone Number: | 6463731911 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 107170217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |