Organization
NICHOLAS TIBERIA DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS TIBERIA (DPM)
(716) 674-0375
Entity
Organization
Contact information
Practice address
100 UNION RD, WEST SENECA, NY 14224-4656
(716) 674-0375
Mailing address
100 UNION RD, WEST SENECA, NY 14224-4656
(716) 674-0375
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N003294-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00742838
—
NY
Enumeration date
01/15/2008
Last updated
01/15/2008
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