Individual
MR. GEORGE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
177 FORT WASHINGTON AVE, 7GN-435, NEW YORK, NY 10032-3733
(212) 305-2633
Mailing address
177 FORT WASHINGTON AVE, 7GN-435, NEW YORK, NY 10032-3733
(212) 305-2633
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004425-1
NY
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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