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NPI Code Detail

MEDICARE: DR. DAVID ALAN TRIBICH

MEDICARE: DR. DAVID ALAN TRIBICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist006117NY

General Provider Information

NPI Number : 1083915227
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ALAN TRIBICH
Provider Business Mailing Address
First Line : 760 E 160TH ST
Second Line :
City : BRONX
State : NY
Zip : 10456-7815
Country : US
Telephone Number : 718-401-5703
Fax Number :
Provider Business Practice Location Address
First Line : 760 E 160TH ST
Second Line :
City : BRONX
State : NY
Zip : 10456-7815
Country : US
Telephone Number : 718-401-5703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2010
Last Update Date : 11/04/2010

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Directions to “ DR. DAVID ALAN TRIBICH ” Practice Location

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