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Individual

BRIAN KIBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
160 E 56TH ST, NEW YORK, NY 10022-3609
(212) 355-7827
(212) 355-0963
Mailing address
160 E 56TH ST, NEW YORK, NY 10022-3609
(212) 355-7827
(212) 355-0963

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000
LICENSE
NY
Enumeration date
12/04/2019
Last updated
12/04/2019
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