Provider Demographics
NPI:1558685818
Name:SIBLEY NURSING PERSONNEL SERVICE, INC
Entity Type:Organization
Organization Name:SIBLEY NURSING PERSONNEL SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHEDULING COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-798-4350
Mailing Address - Street 1:12 RHOADS DR
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-6306
Mailing Address - Country:US
Mailing Address - Phone:315-798-4350
Mailing Address - Fax:315-798-4352
Practice Address - Street 1:12 RHOADS DR
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-6306
Practice Address - Country:US
Practice Address - Phone:315-798-4350
Practice Address - Fax:315-798-4352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2693461251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care