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Contact Information

PHILIP GIMBER, NP
12 DOVER AVE
NORTH MASSAPEQUA, NY11758
 Phone: 917-617-3134
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PHILIP GIMBER · (Male)

NPI Number 1194811745
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 304056
  • NY License # 492717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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