National Provider Identifier

Nicholas Tiberia, D.P.M.

Nicholas Tiberia, D.P.M. is listed in the NPPES registry with a primary specialty of Podiatrist in Orchard Park, NY and a listed phone number of (716) 674-0375.

NPI 1649260118Orchard Park, NYPodiatrist

Profile Overview

NPI
1649260118
Provider Type
Individual
Primary Specialty
Podiatrist
Enumeration Date
October 26, 2005
Last Updated
June 26, 2017

Practice Location

  • 3085 Southwestern Blvd
  • Ste 203
  • Orchard Park, NY 14127-1233

Phone: (716) 674-0375

Mailing Address

  • 69 Cedar Ridge Dr
  • West Seneca, NY 14224-2574

Specialties

  • Podiatrist (213E00000X)
Full Record
NPI
1649260118
Entity Type
Individual
Last Name
Tiberia
First Name
Nicholas
Name Prefix
Dr.
Credential
D.P.M.
Mailing Street Address
69 Cedar Ridge Dr
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-2574
Mailing Country
US
Mailing Phone
(716) 675-4417
Practice Street Address
3085 Southwestern Blvd
Practice Address Line 2
Ste 203
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1233
Practice Country
US
Practice Phone
(716) 674-0375
Practice Fax
(716) 677-2965
Enumeration Date
October 26, 2005
Last Updated
June 26, 2017
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Podiatrist (213E00000X)