Andrea Jo Gibbons in Bay Shore - Physician Assistant
Andrea Jo Gibbons - NPI 1083774509
Andrea Jo Gibbons is a Physician Assistant in Bay Shore, New York. Andrea Jo Gibbons practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrea Jo Gibbons is 1083774509. The last update date is 2014-11-22.
Andrea Jo Gibbons's current location address is 21 Wenman Ave, Bay Shore, New York. You can contact this provider via phone number 6316658034. The mailing address for Andrea Jo Gibbons is 21 Wenman Ave, Bay Shore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Jo Gibbons |
|---|---|
| Address | 21 Wenman Ave, Bay Shore, New York |
| Phone Number | 6316658034 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R.P.A.-C. |
NPI Number Detail
| NPI Number | 1083774509 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2014-11-22 |
Provider Mailing Address Detail
| Address | 21 Wenman Ave |
|---|---|
| City | Bay Shore |
| State | New York (NY) |
| Post Code | 117068923 |
| Phone Number | 6316658034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8888 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Andrea Jo Gibbons by the Centers for Medicare & Medicaid Services?
The Andrea Jo Gibbons has been assigned the NPI (National Provider Identifier) 1083774509 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Andrea Jo Gibbons's facilities are situated?
The facilities of Andrea Jo Gibbons are physically located at the following address: 21 Wenman Ave, Bay Shore, NY, 117068923.
What is Andrea Jo Gibbons's area of expertise and its corresponding taxonomy classification?
The Andrea Jo Gibbons's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Andrea Jo Gibbons receive the assignment of its 1083774509 from the Centers for Medicare & Medicaid Services?
The Andrea Jo Gibbons was issued its 1083774509 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date was the information regarding Andrea Jo Gibbons, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andrea Jo Gibbons, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-11-22.
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