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Individual

DR. SARAH JANE GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBCHBAO

Contact information

Practice address
462 GRIDER ST, ROOM 1184-A, BUFFALO, NY 14215-3021
(716) 898-4221
Mailing address
462 GRIDER ST, DEPARTMENT OF PSYCHIATRY #1184-A, BUFFALO, NY 14215-3021
(716) 898-4221
(716) 898-4538

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
290497
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
290497
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1758216
WELLCARE MEDICARE
Enumeration date
08/16/2012
Last updated
01/28/2019
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