Provider Demographics
NPI:1790700383
Name:BIEBER, JOSEF G
Entity Type:Individual
Prefix:DR
First Name:JOSEF
Middle Name:G
Last Name:BIEBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 ROUTE 52
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1516
Mailing Address - Country:US
Mailing Address - Phone:845-896-8424
Mailing Address - Fax:845-896-8423
Practice Address - Street 1:841 ROUTE 52
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1516
Practice Address - Country:US
Practice Address - Phone:845-896-8424
Practice Address - Fax:845-896-8423
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0307591223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT50283Medicare UPIN