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Contact Information

EILEEN F GIBBONS
235 BLUE POINT AVE
BLUE POINT, NY11715-1261
 Phone: 631-363-5794
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for EILEEN F GIBBONS · (Female)

NPI Number 1689314221
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2022
Last updated 03/31/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 950373
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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