Individual
DR. MARIA GABRIELA TIBAVINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1667 LEXINGTON AVE, NEW YORK, NY 10029-4962
(212) 289-4131
Mailing address
60 CHURCH ST, NEW ROCHELLE, NY 10805-3204
(678) 548-0959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060774
NY
1223G0001X
General Practice Dentistry
DN015657
GA
Other
Enumeration date
12/04/2018
Last updated
01/25/2023
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