Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gabriel Isaiah Andrew Chisholm

Individual provider Counselor · NPI 1043187172

Gabriel Isaiah Andrew Chisholm is a Counselor in Brentwood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

14 Roosevelt St
Brentwood, NY 11717-3212
Phone: (631) 626-8388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (NY)

Record details

NPI number1043187172
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 21, 2025

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