Individual
LASHARN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
929 MCKINLEY STREET, PEEKSKILL, NY 10566
16465096714
Mailing address
929 MCKINLEY ST, PEEKSKILL, NY 10566-5601
16465096714
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
891685576
NY
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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