# WILLIAM GIBBS MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639317134
- **Authorized official:** DR. WILLIAM GIBBS MD (PRESIDENT)
- **Authorized official phone:** (718) 969-7900

## Contact information

- **Practice address:** 7742 164TH ST, FRESH MEADOWS, NY 11366-1227
- **Practice address phone:** (718) 969-7900
- **Practice address fax:** (718) 969-7912
- **Mailing address:** 7742 164TH ST, FRESH MEADOWS, NY 11366-1227
- **Mailing address phone:** (718) 969-7900
- **Mailing address fax:** (718) 969-7912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 226006 | NY | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 11/03/2010