Tiberia, Janet Mary

Tiberia, Janet Mary is an individual health care provider with primary practice located at 1092 Madison Ave Pediatrics, Albany NY 12208-2248. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tiberia, Janet Mary can be contacted via phone (518) 525-2445.

Contact Information

Primary practice address
1092 Madison Ave Pediatrics Albany NY 12208-2248
Phone: (518) 525-2445
Fax: (518) 475-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380750 New York

Profile Details

NPI number 1679512396
LBN Legal business name Tiberia, Janet Mary
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679512396 NPPES
New York MEDICAID 01878459

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