Individual
JANET MARY TIBERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1092 MADISON AVE, PEDIATRICS, ALBANY, NY 12208-2248
(518) 525-2445
(518) 475-7069
Mailing address
2 BAYBERRY CIR, POESTENKILL, NY 12140-2309
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01878459
—
NY
Enumeration date
06/06/2006
Last updated
06/07/2011
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