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Individual
JAMIE RAGER TIBERI
Active
Individual
JAMIE RAGER TIBERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011174501
UNIVERA
NY
01
—
000625508001
BLUE CROSS/BLUE SHIELD
NY
01
—
000625508002
BLUE CROSS/BLUE SHIELD
NM
01
—
650017024
R/R MEDICARE
NM
01
—
6699577
GHI
NY
01
—
827106
MANAGED PHYSICAL NETWORK
NY
01
—
9310551
INDEPENDENT HEALTH
NY
Enumeration date
08/03/2006
Last updated
07/08/2007
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