| Stacia Gibbs, | |
|
6321 New Utrecht Ave, Brooklyn, NY 11219-5425 | |
| (212) 687-7464 | |
| Not Available |
| Full Name | Stacia Gibbs |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 6321 New Utrecht Ave, Brooklyn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003301821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 743929 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacia Gibbs, 6321 New Utrecht Ave, Brooklyn, NY 11219-5425 Ph: (212) 687-7464 | Stacia Gibbs, 6321 New Utrecht Ave, Brooklyn, NY 11219-5425 Ph: (212) 687-7464 |
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