Individual
CYNTHIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2559
(585) 273-1255
Mailing address
PO BOX 278984, ROCHESTER, NY 14627-8984
(585) 275-2559
(585) 273-1255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300485
NY
363L00000X
Nurse Practitioner
371434
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02753079
—
NY
Enumeration date
08/31/2006
Last updated
07/05/2023
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