Gibson, Daniel

Gibson, Daniel is an individual health care provider with primary practice located at 98120 Queens Blvd Apt 1C, Rego Park NY 11374. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gibson, Daniel can be contacted via phone (718) 830-0246.

Contact Information

Primary practice address
98120 Queens Blvd Apt 1C Rego Park NY 11374
Phone: (718) 830-0246
Fax: (718) 830-9088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P54612 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 018394 New York

Profile Details

NPI number 1265595516
LBN Legal business name Gibson, Daniel
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jan 2nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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