Theresa D Gibbs OD

NPI 1912010430 - Optometrist - 152W00000X

NPI Details
NPI 1912010430
Gender Female
Enumeration Date 08/17/2006
Last Updated 04/16/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3695 MAIN ST
WARRENSBURG NY, 12885-1832, US
Phone (518) 623-2229
Fax
Business Location
28 QUINCY LN
QUEENSBURY NY, 12804-8348, US
Phone (518) 743-0274
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number TUV006098-1
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According to our database, Theresa D Gibbs OD NPI is 1912010430, taxonomy code is 152W00000X and license number is TUV006098-1, license state is located at New York. Theresa D Gibbs OD physically located at 3695 Main St, Warrensburg NY, 12885-1832. NPI Number Theresa D Gibbs OD has the Individual type.

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1912010430 NPI number is provided on an as is basis without warranty of any kind. 1912010430 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa D Gibbs OD are for informational purposes only.