Individual
DERSHAWN SIBBLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
656 AVE PONCE DE LEON STE 1, SAN JUAN, PR 00918-4522
(788) 998-8997
Mailing address
450 HUNGRY HARBOR RD, VALLEY STREAM, NY 11581-3637
(516) 373-9808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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