Provider Demographics
NPI:1710002910
Name:CIABURRI, DANIEL GEORGE (MD, MBA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:GEORGE
Last Name:CIABURRI
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BRADLEY PL APT 502
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-3839
Mailing Address - Country:US
Mailing Address - Phone:212-737-2998
Mailing Address - Fax:
Practice Address - Street 1:150 BRADLEY PL APT 502
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-3839
Practice Address - Country:US
Practice Address - Phone:212-737-2998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162167208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2058120Medicaid
CT2058120Medicaid