Dr. Maria Gabriela Tibavinsky, DMD
Dentist in New York, NY. Individual provider (NPI-1).
NPI number1982174744
StatusActive
Last updated in NPPESJan 25, 2023
Details
- NPI
- 1982174744
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maria Gabriela Tibavinsky
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2018
- Certification date
- Jan 20, 2023
- Last updated
- Jan 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 060774 | NY | Yes |
| 1223G0001X | Dentist, General Practice | DN015657 | GA |
Other names
- Maria Gabriela Tibavinsky Bernal (Former Name)
Practice location
1667 Lexington AveNew York, NY 10029-4962
Phone 212-289-4131
Mailing address
60 Church StNew Rochelle, NY 10805-3204
Phone 678-548-0959
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