Individual
WILLIAM JOSEPH DIBLASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 319-1644
Mailing address
13345 86TH ST, OZONE PARK, NY 11417-1927
(917) 270-2230
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016760
NY
Other
Enumeration date
10/14/2013
Last updated
10/18/2013
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