National Provider Identifier

Sarah Jane Gibbons, MBBCHBAO

Sarah Jane Gibbons, MBBCHBAO is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 898-4221.

NPI 1841548245Buffalo, NYChild & Adolescent Psychiatry Physician

Profile Overview

NPI
1841548245
Provider Type
Individual
Primary Specialty
Child & Adolescent Psychiatry Physician
Enumeration Date
August 16, 2012
Last Updated
January 28, 2019

Practice Location

  • 462 Grider St
  • Room 1184-A
  • Buffalo, NY 14215-3021

Phone: (716) 898-4221

Mailing Address

  • 462 Grider St
  • Department Of Psychiatry #1184-A
  • Buffalo, NY 14215-3021

Specialties

  • Child & Adolescent Psychiatry Physician (2084P0804X)
  • Psychiatry Physician (2084P0800X)
Full Record
NPI
1841548245
Entity Type
Individual
Last Name
Gibbons
First Name
Sarah
Middle Name
Jane
Name Prefix
Dr.
Credential
MBBCHBAO
Mailing Street Address
462 Grider St
Mailing Address Line 2
Department Of Psychiatry #1184-A
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 898-4221
Mailing Fax
(716) 898-4538
Practice Street Address
462 Grider St
Practice Address Line 2
Room 1184-A
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-4221
Enumeration Date
August 16, 2012
Last Updated
January 28, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Child & Adolescent Psychiatry Physician (2084P0804X), Psychiatry Physician (2084P0800X)
Other Identifiers
1758216 (Wellcare Medicare)