Individual
PHYLLIS TIBERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 BETHLEHEM PIKE, PHILADELPHIA, PA 19118-2815
(215) 247-5311
Mailing address
496 POWDERHOUSE RD, VESTAL, NY 13850-5943
(607) 768-9888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN603490
PA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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