Individual
MR. ANTHONY J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2146 JACKSON AVE, SEAFORD, NY 11783-2606
(516) 222-8888
Mailing address
857 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 987-1027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110146
NY
1041C0700X
Clinical Social Worker
Primary
100692
NY
Other
Enumeration date
10/13/2020
Last updated
05/13/2026
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