Provider Demographics
NPI:1295092120
Name:SIBBLIES, DENISE PATRICIA
Entity type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:PATRICIA
Last Name:SIBBLIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 BAYCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1514
Mailing Address - Country:US
Mailing Address - Phone:718-620-5314
Mailing Address - Fax:718-620-2561
Practice Address - Street 1:1551 E 172ND ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-2141
Practice Address - Country:US
Practice Address - Phone:718-620-5314
Practice Address - Fax:718-620-2561
Is Sole Proprietor?:No
Enumeration Date:2012-04-17
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22526525163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool