Individual provider · Type 1 NPI

Bryan R. Gibb, PA-C

Physician Assistant · Ithaca, NY

NPI number 1063014413 Active

Practice location

16 Brentwood Dr Ste A
Ithaca, NY 14850-1863

Fax (607) 272-4604

Mailing address

690 Ridge Rd Apt 201
Lansing, NY 14882-8980

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063014413

Bryan R. Gibb, PA-C's National Provider Identifier is 1063014413, issued on Nov 11, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ithaca, NY. The record was last updated on Dec 3, 2020.