Individual
DR. GLENN M. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
400 KINGS MALL CT, KINGSTON, NY 12401-1578
(846) 663-8299
Mailing address
62 CLOVER ST, WEST HURLEY, NY 12491-6019
(845) 663-8299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012425
NY
Other
Enumeration date
12/12/2013
Last updated
12/02/2022
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