Individual
DR. JABBAR SALIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1259 FISHER AVE, CORTLAND, NY 13045-1012
(607) 753-1017
(607) 753-1091
Mailing address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 758-8019
(607) 758-8210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
286667
NY
208600000X
Surgery Physician
43355
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532556
—
TN
01
—
4630541
BCBS-TN
TN
Enumeration date
06/05/2009
Last updated
11/29/2016
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