Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tamar Bibilashvili, PHDMAED, SIMSED

Individual provider Specialist · NPI 1760744023

Tamar Bibilashvili, PHDMAED, SIMSED is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

84 Oceanside Ave
Staten Island, NY 10305-4560
Phone: (917) 886-2145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 766124 (NY)

Record details

NPI number1760744023
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDMAED , SIMSED
Sole proprietorYes
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 13, 2012

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