Individual
DR. JOYCE TIBBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
153 W GENESEE ST, CHITTENANGO, NY 13037-1528
(315) 687-5100
(315) 687-0252
Mailing address
153 W GENESEE ST, CHITTENANGO, NY 13037-1528
(315) 687-5100
(315) 687-0252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04208788
—
NY
Enumeration date
06/13/2014
Last updated
07/09/2020
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