Individual
COURTNEY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3614 CLARENDON RD, BROOKLYN, NY 11203-5104
(347) 765-8990
Mailing address
3614 CLARENDON RD, BROOKLYN, NY 11203-5104
(347) 765-8990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
802034
NY
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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