Individual
FARRAH GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3474 113TH ST, FLUSHING, NY 11368-1455
(718) 429-5700
Mailing address
1533 KENNETH AVE, NORTH BALDWIN, NY 11510-1603
(516) 232-3409
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
591901
NY
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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