Individual
RUSSELL WAYNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
245 E 21ST ST, #2B, NEW YORK, NY 10010-6410
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
228355
NY
2085R0202X
Diagnostic Radiology Physician
Primary
228355
NY
Other
Enumeration date
06/29/2006
Last updated
09/11/2025
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