Gibson, William

Gibson, William is an individual health care provider with primary practice located at 400 Fort Hill Ave , Canandaigua NY 14424-1159. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gibson, William can be contacted via phone (585) 393-7496.

Contact Information

Primary practice address
400 Fort Hill Ave Canandaigua NY 14424-1159
Phone: (585) 393-7496
Fax: (585) 393-7429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 017177 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 017177 New York

Profile Details

NPI number 1962439059
LBN Legal business name Gibson, William
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Mar 1st, 2011 - about 14 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 1962439059 NPPES
Pennsylvania Other 423635 PA BLUE SHILED
Pennsylvania Other 651123-01 PA BLUE SHILED
Pennsylvania Other 835851000 PA BLUE SHILED
Pennsylvania Other 50058633 PA BLUE SHILED

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