National Provider Identifier
Gabriel E Yacob, M.D.
Gabriel E Yacob, M.D. is listed in the NPPES registry with a primary specialty of Pain Medicine (Anesthesiology) Physician in Olean, NY and a listed phone number of (716) 701-1530.
Profile Overview
- NPI
- 1003107285
- Provider Type
- Individual
- Primary Specialty
- Pain Medicine (Anesthesiology) Physician
- Enumeration Date
- April 22, 2011
- Last Updated
- October 03, 2024
Practice Location
- 515 Main St
- Olean, NY 14760-1513
Phone: (716) 701-1530
Mailing Address
- 908 Niagara Falls Blvd
- Suite 208
- North Tonawanda, NY 14120-2019
Specialties
- Pain Medicine (Anesthesiology) Physician (207LP2900X)
- Anesthesiology Physician (207L00000X)
- Pain Medicine (Anesthesiology) Physician (207LP2900X)
Full Record
- NPI
- 1003107285
- Entity Type
- Individual
- Last Name
- Yacob
- First Name
- Gabriel
- Middle Name
- E
- Credential
- M.D.
- Mailing Street Address
- 908 Niagara Falls Blvd
- Mailing Address Line 2
- Suite 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-2160
- Mailing Fax
- (716) 332-3525
- Practice Street Address
- 515 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1513
- Practice Country
- US
- Practice Phone
- (716) 701-1530
- Practice Fax
- (716) 701-1535
- Enumeration Date
- April 22, 2011
- Last Updated
- October 03, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pain Medicine (Anesthesiology) Physician (207LP2900X), Anesthesiology Physician (207L00000X), Pain Medicine (Anesthesiology) Physician (207LP2900X)