Kristen Giberson
Surgery, Surgical Critical Care in Rochester, NY. Individual provider (NPI-1).
NPI number1164076691
StatusActive
Last updated in NPPESAug 5, 2019
Details
- NPI
- 1164076691
- Entity type
- Individual (NPI-1)
- Name
- Kristen Giberson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Last updated
- Aug 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | 023747 | NY | Yes |
| 363A00000X | Physician Assistant | 023747 | NY |
Practice location
601 Elmwood AveRochester, NY 14642-0001
Phone 585-275-1577 · Fax 585-756-4932
Mailing address
601 Elmwood Ave Box SurgRochester, NY 14642-0001
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