Basic Information
| Provider Information | |||||||||
| NPI: | 1780675876 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CURINGTON | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | GIBSON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 129 W 29TH ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100015105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4156586791 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1790 BROADWAY | ||||||||
| Address2: | SUITE 1802 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100191412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125300624 | ||||||||
| FaxNumber: | 2128674353 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2005 | ||||||||
| LastUpdateDate: | 02/25/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 225376 | MA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A066341 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 277732 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | A066341 | 01 | CA | CALIFORNIA MEDICAL LICENS | OTHER | 225376 | 01 | MA | MASS. MEDICAL LICENSE | OTHER |