Michael Gibbons, MS,OTR/L

Skilled Nursing Facility · Delmar, NY

Individual Active NPI

NPI number 1396153839

Practice location

93 Jordan Blvd
Delmar, NY 12054-4105
Phone
(518) 439-9654

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NPI record

NPI
1396153839
Entity type
Individual (Type 1)
Enumeration date
July 29, 2014
Last updated
July 29, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 009064-1 NY

About Michael Gibbons

Michael Gibbons, MS,OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 93 Jordan Blvd, Delmar, NY 12054-4105. The NPI number 1396153839 was assigned on July 29, 2014 and the record was last updated on July 29, 2014.

Michael Gibbons lists a license in the registry: #009064-1 (NY) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Gibbons, MS,OTR/L?

The NPI number is 1396153839.

What is the phone number of Michael Gibbons?

The phone number listed for the practice location is (518) 439-9654.

Where is Michael Gibbons located?

93 Jordan Blvd, Delmar, NY 12054-4105.

What is the taxonomy code for Michael Gibbons?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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