Individual provider · Type 1 NPI
Dominic Gibilisco-Zykorie
Psychiatric/Mental Health Registered Nurse · Haddonfield, NJ
NPI number
1346878980
Active
Practice location
9 Tanner St Ste 103
Haddonfield, NJ 08033-2432
Mailing address
188 Perry Ave
Moorestown, NJ 08057-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 26NR11987500 (NJ) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1346878980
Dominic Gibilisco-Zykorie's National Provider Identifier is 1346878980, issued on Mar 30, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Haddonfield, NJ. The record was last updated on Mar 30, 2020.