Individual
MS. CHRISTINE GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
694 CLOVE RD, STATEN ISLAND, NY 10310-2707
(718) 448-3412
Mailing address
328 CARY AVE, STATEN ISLAND, NY 10310-2044
(347) 574-7969
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004608-1
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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