National Provider Identifier

Tina Marie Dibble

Tina Marie Dibble is listed in the NPPES registry with a primary specialty of Specialist in Depew, NY and a listed phone number of (716) 901-8700.

NPI 1326694829Depew, NYSpecialist

Profile Overview

NPI
1326694829
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 12, 2019
Last Updated
August 12, 2019

Practice Location

  • 2049 George Urban Blvd
  • Depew, NY 14043-1823

Phone: (716) 901-8700

Specialties

  • Specialist (174400000X)
Full Record
NPI
1326694829
Entity Type
Individual
Last Name
Dibble
First Name
Tina
Middle Name
Marie
Mailing Street Address
2049 George Urban Blvd
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1823
Mailing Country
US
Mailing Phone
(716) 901-8700
Practice Street Address
2049 George Urban Blvd
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1823
Practice Country
US
Practice Phone
(716) 901-8700
Enumeration Date
August 12, 2019
Last Updated
August 12, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)