Most Relevant Information
Provider Data
| NPI Number: | 1003462128 |
| Provider Name: | REBECCA TYBERG |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2019 |
| Last Updated: | 08/14/2019 |
Provider Practice Location
1055 SAINT JOHNS PL
BROOKLYN
NY
112132690
Practice Location Phone/Fax
| Phone: | 7187782080 |
| Fax: |
Provider Mailing Location
1055 SAINT JOHNS PL
BROOKLYN
NY
112132690
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |