Individual
ANGELLA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 COLUMBIA ST, WEST BABYLON, NY 11704-1904
(917) 291-3131
Mailing address
70 COLUMBIA ST, WEST BABYLON, NY 11704-1904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
900324
NY
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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