Gibson, Sandra E
Gibson, Sandra E is an individual health care provider with primary practice located at 5496 E Taft Rd , North Syracuse NY 13212-3784. 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. Gibson, Sandra E can be contacted via phone (315) 552-6700.Contact Information
Primary practice address
5496 E Taft Rd
North Syracuse NY 13212-3784
Phone: (315) 552-6700
Fax: (315) 552-6701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 016973 | New York |
Profile Details
| NPI number | 1447686050 |
|---|---|
| LBN Legal business name | Gibson, Sandra E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2013 |
| Last updated | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447686050 | NPPES |
| New York | MEDICAID | 03804024 |
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