Dibartolo, Debra Jean

Dibartolo, Debra Jean is an sole proprietor health care provider with primary practice located at 334 W State St , Ithaca NY 14850-5432. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dibartolo, Debra Jean can be contacted via phone (607) 273-5500.

Contact Information

Primary practice address
334 W State St Ithaca NY 14850-5432
Phone: (607) 273-5500
Fax: (607) 273-1277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 458367-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 404946 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F337369-1 New York

Profile Details

NPI number 1881981330
LBN Legal business name Dibartolo, Debra Jean
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2011
Last updated Apr 23rd, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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