Individual
MS. SANIYA NOOR KIBRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(917) 244-6963
Mailing address
12 BEACH HILL DR, NORTHPORT, NY 11768-1424
(917) 244-6963
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
272907
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
272907
NY
Other
Enumeration date
04/19/2012
Last updated
03/17/2018
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