Individual
JANET DIBARTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 BELLE TERRE RD BLDG J, PORT JEFFERSON, NY 11777-1936
(631) 828-5361
Mailing address
640 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1936
(917) 596-7996
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
013117
NY
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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