Individual
DANA DIBARTOLOMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
643 GREENBELT PKWY W, HOLBROOK, NY 11741-4203
(631) 275-8625
Mailing address
643 GREENBELT PKWY W, HOLBROOK, NY 11741-4203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320223-1
NY
Other
Enumeration date
04/05/2015
Last updated
04/05/2015
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