Organization
MICHAEL DIBIASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DIBIASE (OWNER)
(516) 578-7501
Entity
Organization
Contact information
Practice address
185 SILAS DEANE HWY STE 200, WETHERSFIELD, CT 06109-1219
(860) 222-0840
Mailing address
42 CUMBERLAND RD, WEST HARTFORD, CT 06119-1120
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
08/01/2025
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