Individual
JOSEPH MICHAEL TIBALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.P.
Contact information
Practice address
17415 HORACE HARDING EXPY FL 2, FRESH MEADOWS, NY 11365-1527
(718) 762-3111
(718) 353-6315
Mailing address
17415 HORACE HARDING EXPY FL 2, FRESH MEADOWS, NY 11365-1527
(718) 762-3111
(718) 353-6315
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
144862
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
AT1048188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0460201011
CIGNA
NY
01
—
0C3556
PHS
NY
01
—
133442196
UNITED HEALTH CARE
NY
01
—
166146
ELDERPLAN
NY
01
—
28P0271
NEW YORK PRESBYTERIAN
NY
01
—
DS054
OXFORD
NY
01
—
JT023D8310
EMPIRE BLUE CROSS B/S
NY
Enumeration date
12/07/2005
Last updated
04/30/2024
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