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Individual

BRENT AUSTIN DIBBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D./M.B.A.

Contact information

Practice address
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016
(212) 263-5506
Mailing address
550 FIRST AVENUE, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016
(212) 263-5506

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101265998
VA
207P00000X
Emergency Medicine Physician
288896
NY

Other

Enumeration date
05/06/2015
Last updated
10/11/2023
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