Individual
MRS. ALLISON M TIBERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
128 N. HEWLETT AVENUE, MERRICK, NY 11566
(516) 378-2870
(516) 378-2295
Mailing address
128 N. HEWLETT AVENUE, MERRICK, NY 11566
(516) 378-2870
(516) 378-2295
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011102
NY
Other
Enumeration date
10/22/2008
Last updated
12/29/2015
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