Provider Demographics
NPI:1992947246
Name:GIBB, JENNIFER LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNN
Last Name:GIBB
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:270 PARK AVENUE
Mailing Address - Street 2:HUNTINGTON HOSPITAL
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-351-2427
Mailing Address - Fax:631-760-2126
Practice Address - Street 1:270 PARK AVENUE
Practice Address - Street 2:HUNTINGTON HOSPITAL
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-351-2427
Practice Address - Fax:631-760-2126
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2016-07-21
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Provider Licenses
StateLicense IDTaxonomies
NY264673207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine