Nicole Gibson, CASAC-T

NPI 1114438611 · on the registry since 2017 · sole proprietor

Practice

Address: 321 W Onondaga St
Syracuse, NY 13202
Phone: (315) 478-0610
Organisation at this address: Central New York Services
Central New York Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 47

Registry record

Primary taxonomy: 261QM0850X
261QM0850X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York