Individual provider · Type 1 NPI
Tracy Melanie Gibson
Specialist · Brookyln, NY
NPI number
1497019574
Active
Practice location
454 Nostrand Avenue
Brookyln, NY 11216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 485251101 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1497019574
Tracy Melanie Gibson's National Provider Identifier is 1497019574, issued on Jul 3, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brookyln, NY. The record was last updated on Jun 3, 2013.