Individual
MISS EMILY MCGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 S 4TH ST, LINDENHURST, NY 11757
(631) 957-5169
Mailing address
404 S 4TH ST, LINDENHURST, NY 11757-4731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
700235131
NY
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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