National Provider Identifier
Robert Gibbon Jr., MD
Robert Gibbon Jr., MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Lakewood, NY and a listed phone number of (716) 485-3690.
Profile Overview
- NPI
- 1992771190
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- February 27, 2006
- Last Updated
- August 28, 2018
Practice Location
- 92 W. Summit St.
- Lakewood, NY 14750
Phone: (716) 485-3690
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1992771190
- Entity Type
- Individual
- Last Name
- Gibbon
- First Name
- Robert
- Name Suffix
- Jr.
- Credential
- MD
- Mailing Street Address
- 92 W. Summit St.
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750
- Mailing Country
- US
- Mailing Phone
- (716) 485-3690
- Practice Street Address
- 92 W. Summit St.
- Practice City
- Lakewood
- Practice State
- NY
- Practice ZIP Code
- 14750
- Practice Country
- US
- Practice Phone
- (716) 485-3690
- Enumeration Date
- February 27, 2006
- Last Updated
- August 28, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)