Individual
NINO JIAO TIBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP, NP-C
Contact information
Practice address
425 E 61ST ST, 4TH FLOOR, NEW YORK, NY 10065-8722
(646) 962-2333
Mailing address
425 E 61ST ST, 4TH FLOOR, NEW YORK, NY 10065-8722
(646) 962-2333
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306389
NY
363LG0600X
Gerontology Nurse Practitioner
340903
NY
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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