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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL GIBBONS, MS,OTR/L

Active Sole Proprietor

MR. MICHAEL GIBBONS, MS,OTR/L is a Skilled Nursing Facility healthcare provider located in DELMAR, New York. NPI 1396153839 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · DELMAR, NY

Registration Details

NPI Number
1396153839
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2014 (12.026528756089 yrs)
Last Updated
Jul 29, 2014
License
009064-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
93 JORDAN BLVD
DELMAR, NY, 120544105
Browse NY providers · Browse ZIP 12054
Phone
5184399654
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.