Individual
ANDREA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6321 NEW UTRECHT AVE, BROOKLYN, NY 11219-5425
(212) 687-7464
Mailing address
6321 NEW UTRECHT AVE, BROOKLYN, NY 11219-5425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
771144
NY
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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