Individual
DR. JOSE FRANK TIBURCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1276 FULTON AVE # 3F, BRONX, NY 10456-3402
(718) 901-8294
Mailing address
10205 187TH ST, HOLLIS, NY 11423-3109
(646) 267-8356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
244497
NY
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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