Sasshine Imani Gibson | Bronx, NY • PECOS Search

Sasshine Imani Gibson

Specialist

Other Service Providers

329 E 149th St, Bronx, NY 10451-5601

(718) 769-2698 (718) 744-8751

PECOS Enrollment

Based on the most recent information from CMS, provider Sasshine Imani Gibson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1598171977
Provider Type
Individual
Full Name
Gibson, Sasshine Imani
Title
Ms.
Credential
B.A. ED

Gender
Female
Sole Proprietor
No
Enumeration Date
7/7/2014
Last Updated
7/7/2014

Contact Information

Practice Location

329 E 149th St, Bronx, NY 10451-5601

Unlisted Fax

Mailing Location

21932 75th Ave, Oakland Gardens, NY 11364-3044

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer New York