Individual
DR. JESSICA LYNN DIBONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
330 PINE TREE RD, ITHACA, NY 14850-2819
(607) 273-2035
(607) 273-0316
Mailing address
330 PINE TREE RD, ITHACA, NY 14850-2819
(607) 273-2035
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
I062726
NY
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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