Individual provider · Type 1 NPI

Siji Gibo John

Acute Care Nurse Practitioner · Queens Village, NY

NPI number 1679487300 Active

Practice location

8906 221st St
Queens Village, NY 11427-2508

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF433428-01 (NY)

Acute Care Nurse Practitioner: Definition to come...

About NPI 1679487300

Siji Gibo John's National Provider Identifier is 1679487300, issued on Sep 30, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Queens Village, NY. The record was last updated on Sep 30, 2026.