Individual
DR. NICHOLAS TIBERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3085 SOUTHWESTERN BLVD, STE 203, ORCHARD PARK, NY 14127-1233
(716) 674-0375
(716) 677-2965
Mailing address
69 CEDAR RIDGE DR, WEST SENECA, NY 14224-2574
(716) 675-4417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003294-1
NY
Other
Enumeration date
10/26/2005
Last updated
06/26/2017
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