Individual
DANIEL MICHEL BIBAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1699
(860) 679-2147
Mailing address
355 BARD AVE DEPT OF, STATEN ISLAND, NY 10310-1699
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
76627
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2021
Last updated
10/14/2024
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