Tibett, Magdalena

Tibett, Magdalena is an sole proprietor health care provider with primary practice located at 1111 Montauk Hwy Suite 3-1, West Islip NY 11795-4910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tibett, Magdalena can be contacted via phone (631) 669-1171.

Contact Information

Primary practice address
1111 Montauk Hwy Suite 3-1 West Islip NY 11795-4910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017830 New York

Profile Details

NPI number 1619386570
LBN Legal business name Tibett, Magdalena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2014
Last updated Dec 30th, 2014 - about 12 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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