# JOSEPH MICHAEL TIBALDI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972588564
- **Gender:** Man
- **Credential:** M.D.,F.A.C.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 144862 | NY | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | AT1048188 | NY | — |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 04/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0460201011 | CIGNA | NY |
| 01 | — | 0C3556 | PHS | NY |
| 01 | — | 133442196 | UNITED HEALTH CARE | NY |
| 01 | — | 166146 | ELDERPLAN | NY |
| 01 | — | 28P0271 | NEW YORK PRESBYTERIAN | NY |
| 01 | — | DS054 | OXFORD | NY |
| 01 | — | JT023D8310 | EMPIRE BLUE CROSS B/S | NY |