Provider Demographics
NPI:1134286677
Name:VIBERT, YANICK MARY (DO)
Entity Type:Individual
Prefix:DR
First Name:YANICK
Middle Name:MARY
Last Name:VIBERT
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:101 E OLNEY AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2470
Mailing Address - Country:US
Mailing Address - Phone:215-456-1825
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:609 W GERMANTOWN PIKE STE 160
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4243
Practice Address - Country:US
Practice Address - Phone:484-622-7400
Practice Address - Fax:484-622-7407
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2021-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-0123162080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine