Dilibero, Mary R

Dilibero, Mary R is an sole proprietor health care provider with primary practice located at 400 Bald Hill Rd Suite 510, Warwick RI 02886. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dilibero, Mary R can be contacted via phone (401) 732-3637.

Contact Information

Primary practice address
400 Bald Hill Rd Suite 510 Warwick RI 02886
Fax: (701) 732-2875
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 001427 Connecticut

Profile Details

NPI number 1639129877
LBN Legal business name Dilibero, Mary R
Credentials PCNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Sep 24th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639129877 NPPES
Connecticut MEDICAID 4169406

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