MEDICARE: GIBSON ALEXANDER AMBROSIO BA/MA CASAC-T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1992651525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIBSON ALEXANDER AMBROSIO BA/MA CASAC-T

Provider Business Mailing Address
First Line	:	148 POST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-2667
Country	:	US
Telephone Number	:	845-267-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	148 POST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-2667
Country	:	US
Telephone Number	:	845-267-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

Similar Medicare Providers

1407233513 — LUCINDA REYES
Practice Location Address:

148 POST AVE
NEW YORK, NY
10034-2667

Practice Phone: 845-267-1400
Practice Fax:

1811696560 — DOMINIQUE JACKSON PMHNP
Practice Location Address:

148 POST AVE
NEW YORK, NY
10034-2667

Practice Phone: 845-267-1400
Practice Fax:

1740054113 — WELLNESS IN INWOOD LLC
Practice Location Address:

148 POST AVE
NEW YORK, NY
10034-2667

Practice Phone: 845-267-1400
Practice Fax: 646-370-5420

1285592998 — MIGUEL RODRIGUEZ
Practice Location Address:

148 POST AVE
NEW YORK, NY
10034-2667

Practice Phone: 845-267-1400
Practice Fax:

1023071487 — DR. ARTHUR I GOLDBERG M.D.
Practice Location Address:

945 5TH AVE OFC 6
NEW YORK, NY
10021-2667

Practice Phone: 212-249-0030
Practice Fax: 212-744-2413

1861656225 — DR. MEREDYTH D. KRAVITZ PSY.D.
Practice Location Address:

945 5TH AVE OFC 5
NEW YORK, NY
10021-2667

Practice Phone: 212-439-8430
Practice Fax:

Directions to “ GIBSON ALEXANDER AMBROSIO BA/MA CASAC-T” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.