Provider Demographics
NPI:1225049687
Name:SIBULKIN, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SIBULKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 CENTRAL PARK S
Mailing Address - Street 2:#19J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1457
Mailing Address - Country:US
Mailing Address - Phone:212-581-6257
Mailing Address - Fax:212-581-6257
Practice Address - Street 1:240 CENTRAL PARK S
Practice Address - Street 2:#19J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1457
Practice Address - Country:US
Practice Address - Phone:212-581-6257
Practice Address - Fax:212-581-6257
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0988591207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology