Dibenedetto, Anthony Thomas
Dibenedetto, Anthony Thomas is an individual health care provider with primary practice located at 15 Elizabeth Dr , Lockport NY 14094-5226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dibenedetto, Anthony Thomas can be contacted via phone (716) 434-9141.Contact Information
Primary practice address
15 Elizabeth Dr
Lockport NY 14094-5226
Phone: (716) 434-9141
Fax: (716) 434-0594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 149223 | New York |
Profile Details
| NPI number | 1477505964 |
|---|---|
| LBN Legal business name | Dibenedetto, Anthony Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 14th, 2022 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477505964 | NPPES |
| New York | MEDICAID | 01081910 |
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