Individual
MISS CASANDRA CHRISTINE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 EAST 84TH STREE, 2 FL, BROOKLYN, NY 11236
(718) 902-1879
Mailing address
1380 E 84TH ST FL 2, BROOKLYN, NY 11236-5104
(718) 902-1879
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331075-1
NY
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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