Doctor Name: | MRS. JANET GAY DIBIASE |
NPI Number: | 1144591132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 390850-1 |
Business Practice Address: | 2495 Rosendale Rd Niskayuna, NY - 123091309 |
Business Phone Number: | 5183772233 |
Business Fax Number: | 5183770655 |
Mailing Address: | 2495 Rosendale Rd, NISKAYUNA |
State: | NY |
Postal Code: | 123091309 |
Phone Number: | 5183772233 |
Fax Number: | 5183770655 |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 390850-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |