Gibbons, Andrea Jo

Gibbons, Andrea Jo is an individual health care provider with primary practice located at 1175 Montauk Hwy Suite 4, West Islip NY 11795-4939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gibbons, Andrea Jo can be contacted via phone (631) 422-9600.

Contact Information

Primary practice address
1175 Montauk Hwy Suite 4 West Islip NY 11795-4939
Phone: (631) 422-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008888 New York

Profile Details

NPI number 1083774509
LBN Legal business name Gibbons, Andrea Jo
Credentials R.P.A.-C.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Nov 22nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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