Individual
MATTHEW TIBERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
41 PEACHTREE LN, ROSLYN HEIGHTS, NY 11577-2415
(516) 884-3462
Mailing address
41 PEACHTREE LN, ROSLYN HEIGHTS, NY 11577-2415
(516) 884-3462
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
68466401
NY
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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