Individual
ANTHONY DIBIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 PARK AVE, NEW YORK, NY 10016-1601
(212) 972-4444
Mailing address
99 PARK AVE, NEW YORK, NY 10016-1601
(212) 972-4444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
121219
NY
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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