Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Blaine Duval Gibbs, ABATHERAPIST

Individual provider Specialist · NPI 1912421322

Mr. Blaine Duval Gibbs, ABATHERAPIST is a Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

329 E 149th St Fl 4
Bronx, NY 10451-5626
Phone: (718) 769-2698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1912421322
Entity typeIndividual (Type 1)
GenderMale
Credentials ABATHERAPIST
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 27, 2017

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