Individual
DR. AMY Y DIFABIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 GROTON AVE, CORTLAND, NY 13045
(607) 753-3774
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
252407
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03114707
—
NY
Enumeration date
08/25/2008
Last updated
01/29/2019
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