Individual
BRIGITTE TIBANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 30TH AVE FL 4, LONG ISLAND CITY, NY 11102-2448
(718) 808-7777
Mailing address
7810 34TH AVE APT 2B, JACKSON HEIGHTS, NY 11372-2418
(347) 894-6389
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104611-01
NY
1041C0700X
Clinical Social Worker
Primary
096309
NY
Other
Enumeration date
12/07/2022
Last updated
04/14/2025
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