MISS MARY KAY A GIBBONS


Address: 1 Beach 105 Street, 12f, Rockaway Park, NY 11694
Phone: 7183188454

MISS MARY KAY A GIBBONS (NPI# 1730720699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730720699
Entity Type Individual
Full Name MISS MARY KAY A GIBBONS
Credential RN
Practice Address 1 Beach 105 Street
12f
Rockaway Park
NY 11694
Practice Telephone 7183188454
Mailing Telephone 7183188454
Enumeration Date 2019-10-02
Last Update Date 2019-10-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
662160 NY Nursing Service Providers

Office Location

Street Address 1 BEACH 105 STREET
12F
City ROCKAWAY PARK
State NY
Zip Code 11694

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235775941 Shrok Sayed Elsayed Physical Therapist 234 Beach 124th St, Rockaway Park, NY 11694 2019-11-18
1275026684 Aba Tree Behavioral Analyst 142 B120 Street, Rockaway Street, NY 11694 2018-06-11
1235640855 Rockaways Asc Development, LLC. Clinic/Center 105-20 Rockaway Beach Blvd, Suite 301, Rockaway Park, NY 11694 2017-10-23
1841721479 Mary Mongelli Behavioral Analyst 414 Beach124 Street, Belle Harbor, NY 11694 2017-03-24
1033659495 Tri Center Community/Behavioral Health 2488 Grand Concourse Suite 417, Bronx, NY 11694 2017-03-06
1083079446 Bernadette Favard Licensed Practical Nurse 140 Beach 114street, Promenaden Ursing Home, Rockaway Park, NY 11694 2015-12-29
1801231808 Matthew Tagliavia Pharmacist 449 Beach 129th St, Belle Harbor, NY 11694 2013-05-03
1831445436 Megan Leigh Hill Social Worker 140 Beach 112th St, Rockaway Park, NY 11694 2012-08-01
1710241112 Scott Blutstein Specialist 411 Beach 133 Street, Rockaway Park, NY 11694 2012-06-29
1346502226 Anne-marie Ruggiero-miller Specialist 244 Beach 127 Street, Rockaway Park, NY 11694 2012-06-15
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

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1811514565 Marie Andree Dorce Registered Nurse 7214 Bergen Cv, Brooklyn, NY 11234-7100 2020-06-29
1497384648 Monica Mena Registered Nurse 88 Jean Ave, Hempstead, NY 11550-6325 2020-04-08
1609410406 Marva Pow Registered Nurse 3644 Harper Ave, Bronx, NY 10466-5907 2019-11-05
1356800601 Karene Ortensa Blake Registered Nurse 1584 Kenneth Ave, North Baldwin, NY 11510-1659 2019-03-17
1275099491 Eunhee Kim Registered Nurse 105 Echo Ave, Miller Place, NY 11764-2205 2019-02-12
1487122180 Penny Ann Bloom Registered Nurse 188 Clearwater Cir, Rochester, NY 14612-3081 2018-11-12
1952884900 Annette Novena Registered Nurse 1007 E 57th St, Brooklyn, NY 11234-2507 2018-09-14
1316428022 Quiera Decosta Registered Nurse 632 Wilson Ave, Brooklyn, NY 11207-1577 2018-08-22
1639650146 Deborah Gerace Registered Nurse 1155 Flanders Ct, East Amherst, NY 14051-1274 2018-08-22
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Competitor

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City ROCKAWAY PARK
Zip Code 11694

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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