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
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F433428-01 (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.