Provider Demographics
NPI:1508114703
Name:SIBLEY NURSING PERSONNEL
Entity Type:Organization
Organization Name:SIBLEY NURSING PERSONNEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR, OFFICE OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-339-5972
Mailing Address - Street 1:367 CADILLAC AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-3707
Mailing Address - Country:US
Mailing Address - Phone:585-943-6329
Mailing Address - Fax:585-426-0638
Practice Address - Street 1:1655 ELMWOOD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3429
Practice Address - Country:US
Practice Address - Phone:585-325-3220
Practice Address - Fax:585-325-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195981-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health