Individual
NADINE BIBBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6930
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
576726
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
306208
NY
Other
Enumeration date
09/19/2012
Last updated
08/12/2020
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