Individual
JESSICA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC HAD
Contact information
Practice address
1300 UNION TPKE STE 103A, NEW HYDE PARK, NY 11040-1759
(516) 588-6742
Mailing address
11818 199TH ST, SAINT ALBANS, NY 11412-3430
(337) 274-3670
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000061292
NY
Other
Enumeration date
05/13/2020
Last updated
08/04/2021
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