Individual
DR. EUGENE GIBILARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 78TH ST STE B, BROOKLYN, NY 11209-3447
(718) 630-5408
(718) 748-6487
Mailing address
143 82ND ST, BROOKLYN, NY 11209-4342
(718) 836-6600
(718) 630-3761
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
160737
NY
207RP1001X
Pulmonary Disease Physician
Primary
160737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01077783
NYS MEDICAID
NY
01
—
13E431
EMPIRE BLUE CROSS
NY
Enumeration date
05/28/2006
Last updated
07/02/2019
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