Individual
FERDINAND C. DIBLASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(631) 351-3763
(631) 385-8210
Mailing address
21 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(631) 351-3763
(631) 385-8210
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
102982-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00627023
—
NY
01
—
1000505
GHI
NY
01
—
2C4876
HEALTHNET
NY
01
—
694521
BLUE CROSS/ BLUE SHIELD
NY
01
—
CS113
OXFORD
NY
Enumeration date
08/09/2006
Last updated
07/09/2008
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