Individual
MR. ANTHONY P DIBIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2410 MERRICK RD, BELLMORE, NY 11710-5701
(516) 409-9096
(516) 409-9207
Mailing address
2899 KINLOCH RD, WANTAGH, NY 11793-1713
(516) 221-0805
(516) 409-9207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
036036
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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