Active NPIIndividual providerSole proprietor

Tamar Bibilashvili, PHD(MAED), SI(MSED

Specialist in Staten Island, New York

NPI Number1760744023
Practice location
84 Oceanside Ave, Staten Island, NY 10305-4560
Fax
—
Last updated
June 13, 2012

Tamar Bibilashvili is a Specialist based in Staten Island, NY. Tamar Bibilashvili practices in Staten Island, NY and has the professional credentials of PHD(MAED), SI(MSED. The NPI Number for Tamar Bibilashvili is 1760744023 and holds a License No. 766124 (NY). The current practice location address for Tamar Bibilashvili is 84 Oceanside Ave, Staten Island, NY 10305-4560 and can be reached out via phone at 917-886-2145.

Provider Profile Details

NPI Number
1760744023
Provider Name
Tamar Bibilashvili
Credential
PHD(MAED), SI(MSED
Provider Entity Type
Individual
Gender
Female
Address
84 Oceanside Ave, Staten Island, NY 10305-4560
Phone Number
917-886-2145
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2012
Last Update Date
June 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
84 Oceanside Ave
Staten Island, NY 10305-4560
Zip
10305-4560
Phone Number
917-886-2145
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
84 Oceanside Ave
Staten Island, NY 10305-4560
City
Staten Island
State
NY
Zip
10305-4560
Phone Number
917-886-2145

License Information

License Number
766124
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tamar Bibilashvili, PHD(MAED), SI(MSED?

The NPI number of Tamar Bibilashvili, PHD(MAED), SI(MSED is 1760744023. It was assigned on June 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Tamar Bibilashvili, PHD(MAED), SI(MSED?

Tamar Bibilashvili, PHD(MAED), SI(MSED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 766124.

Where does Tamar Bibilashvili, PHD(MAED), SI(MSED practice?

The practice location is 84 Oceanside Ave, Staten Island, NY 10305-4560. The office can be reached at 917-886-2145 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760744023 directly on the NPPES registry website.

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