Individual
MICHEL BIBAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5091 AMBOY RD, STATEN ISLAND, NY 10312
(718) 948-0221
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2030
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
202246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8757208
—
NJ
Enumeration date
09/21/2006
Last updated
02/27/2019
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