Gibson, Vanessa R

Gibson, Vanessa R is an individual health care provider with primary practice located at 444 Merrick Rd Ste 380 , Lynbrook NY 11563-2465. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Gibson, Vanessa R can be contacted via phone (516) 465-1901.

Contact Information

Primary practice address
444 Merrick Rd Ste 380 Lynbrook NY 11563-2465
Fax: (516) 255-5020
Website:

Profile Details

NPI number 1407053036
LBN Legal business name Gibson, Vanessa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Mar 17th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407053036 NPPES
New York Other 262935-1 LICENSE
New York Other 39734 LICENSE

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