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Carol Ann Jackson-gibson, MD
Diagnostic Radiology Physician in Williamsville, New York
NPI 1164421442

Carol Ann Jackson-gibson is a Diagnostic Radiology Physician based in Williamsville, NY and is specialized in Diagnostic Radiology. Carol Ann Jackson-gibson practices in Williamsville, NY and has the professional credentials of MD. The NPI Number for Carol Ann Jackson-gibson is 1164421442 and holds a License No. 176786 (New York).

The current practice location address for Carol Ann Jackson-gibson is 1150 Youngs Rd, Williamsville, NY and can be reached out via phone at 716-688-7622 and via fax at 716-688-7592. You can also correspond with Carol Ann Jackson-gibson through the mailing address at 1150 YOUNGS RD, WILLIAMSVILLE, NY - 14221-8053 (mailing address contact number: 716-688-7622).

Location: 1150 Youngs Rd, Williamsville, NY, 14221-8053
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Provider Profile Details
NPI Number
1164421442
Provider Name
Carol Ann Jackson-gibson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1150 Youngs Rd, Williamsville, NY, 14221-8053
Phone Number
716-688-7622
Fax Number
716-688-7592
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5609475 01 NY INDEPENDENT HEALTH #
01598136 05 NY
000525515015 01 NY BLUE CROSS WNY #
150589FF 01 NY PREFERRED CARE-ROCHESTER
300118785 01 NY RAILROAD MEDICARE #
CR-DRA176786-2W 01 NY WORKERS COMPENSATION #
00025193901 01 NY UNIVERA/EXCELLUS #
institution
Provider Business Practice Location Address Details
Address
1150 Youngs Rd
City
State
Zip
14221-8053
Phone Number
716-688-7622
Fax Number
716-688-7592
person
Provider Business Mailing Address Details
Address
1150 Youngs Rd
City
State
Zip
14221-8053
Phone Number
716-688-7622
Fax Number
716-688-7592
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
176786 (New York)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
176786 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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