Provider Demographics
NPI:1609865492
Name:GIBB, CONSTANCE BELIN (MS)
Entity type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:BELIN
Last Name:GIBB
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:ROOM P-695
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-3972
Mailing Address - Fax:212-746-8986
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:ROOM P-695
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3972
Practice Address - Fax:212-746-8986
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS