Individual
MS. MEREDITH KATHLEEN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N, CRNP
Contact information
Practice address
430 E 34TH STREET, NEW YORK, NY 10016
(508) 846-5642
Mailing address
41 ROUND A BEND RD, TARRYTOWN, NY 10591-6518
(508) 846-5642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN623687
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
382101
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011308
PA
Other
Enumeration date
03/30/2011
Last updated
02/04/2026
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