Individual
MS. AMY I DIBONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
99 BANK ST # 70, NEW YORK, NY 10014-2109
(212) 675-9409
Mailing address
99 BANK ST # 70, NEW YORK, NY 10014-2109
(212) 675-9409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071460
NYS LICENSE
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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