MAGDALENA TIBETT

WEST ISLIP, NY
NPI1619386570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  017830)
Enumeration Date2014-08-05
Last Update Date2014-12-30
Business Address
-- MAGDALENA TIBETT
1111 MONTAUK HWY SUITE 3-1
WEST ISLIP, NY 11795-4910
Phone number: 631-669-1171
Mailing Address
-- MAGDALENA TIBETT
1111 MONTAUK HIGHWAY SUITE 3-1
WEST ISLIP, NY 11795-4910
Phone number: 631-669-1171
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