Individual
KATHLEEN DIBIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CNOR, RNFA
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-3300
Mailing address
1176 5TH AVE, NEW YORK, NY 10029-6503
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308669
NY
Other
Enumeration date
02/14/2017
Last updated
11/25/2025
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