NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RENEE GAMBOL
1329 BEACH CHANNEL DRIVE
FAR ROCKAWAY, NY11691
 Phone: 718-337-6850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for RENEE GAMBOL · (Female)

NPI # 1003037607
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 11346
  • OK License # 1891
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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