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1053040345
ISHMAEL GIBSON
BRONX, NY
NPI
1053040345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-06-10
Last Update Date
2022-06-10
Business Address
ISHMAEL GIBSON
815 HUTCHINSON RIVER PKWY
BRONX, NY 10465-1887
Phone number: 718-684-4433
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Mailing Address
ISHMAEL GIBSON
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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