Individual
DR. DANIEL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
98120 QUEENS BLVD, APT 1C, REGO PARK, NY 11374
(718) 830-0246
(718) 830-9088
Mailing address
98120 QUEENS BLVD, APT 1C, REGO PARK, NY 11374
(718) 830-0246
(718) 830-9088
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P54612
NY
103TC0700X
Clinical Psychologist
018394
NY
Other
Enumeration date
12/18/2006
Last updated
01/02/2011
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