Individual
DR. ANDREW RUSSO KIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 BROADWAY, ELMHURST HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE, ELMHURST, NY 11373-1329
(718) 334-2488
Mailing address
50 E 98TH ST APT 3J, NEW YORK, NY 10029-6552
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
285045
NY
Other
Enumeration date
05/04/2015
Last updated
04/06/2022
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