Gibson, Russell Wayne
Gibson, Russell Wayne is an individual health care provider with primary practice located at 423 E 23Rd St , New York NY 10010-5011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Gibson, Russell Wayne can be contacted via phone (212) 686-7500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 228355 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 228355 | New York |
Profile Details
| NPI number | 1083642789 |
|---|---|
| LBN Legal business name | Gibson, Russell Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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