Dibuono, Mark
Dibuono, Mark is an sole proprietor health care provider with primary practice located at 4349 Hylan Blvd , Staten Island NY 10312-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dibuono, Mark can be contacted via phone (718) 227-1897.Contact Information
Primary practice address
4349 Hylan Blvd
Staten Island NY 10312-6501
Phone: (718) 227-1897
Fax: (718) 983-0348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 156059 | New York |
Profile Details
| NPI number | 1538143680 |
|---|---|
| LBN Legal business name | Dibuono, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1538143680 | NPPES |
| New York | MEDICAID | 01392396 |
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