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Individual

ANGELA GIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPCP

Contact information

Practice address
206 LIVINGSTON ST, BROOKLYN, NY 11201-5811
(516) 939-4752
Mailing address
250 PRINCE AVE, FREEPORT, NY 11520-1022
(347) 881-6767

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/03/2017
Last updated
03/17/2018
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