TIA GIBBS

Contractor

Active Individual
NPI: 1104776855

Practice Address

21623 132ND RD
Jamaica, NY 11413

Phone: (516) 435-1017

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1104776855 is the National Provider Identifier for TIA GIBBS, a Contractor provider located in Jamaica, NY. This NPI was enumerated on February 2, 2026.
TIA GIBBS practices at 21623 132ND RD, Jamaica, NY 11413.

Quick Facts

NPI
1104776855
Type
Individual
Enumerated
Feb 2, 2026
Last Updated
Feb 2, 2026

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