Provider Demographics
NPI:1962832162
Name:BIBICHEFF, KARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:BIBICHEFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 OLD NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1160
Mailing Address - Country:US
Mailing Address - Phone:516-626-6800
Mailing Address - Fax:516-626-1800
Practice Address - Street 1:1500 OLD NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1160
Practice Address - Country:US
Practice Address - Phone:516-626-6800
Practice Address - Fax:516-626-1800
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230795207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine