National Provider Identifier
Jessica Lynn Dibona, PHARMD
Jessica Lynn Dibona, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacotherapy Pharmacist in Ithaca, NY and a listed phone number of (607) 273-2035.
Profile Overview
- NPI
- 1689258543
- Provider Type
- Individual
- Primary Specialty
- Pharmacotherapy Pharmacist
- Enumeration Date
- May 07, 2021
- Last Updated
- May 07, 2021
Practice Location
- 330 Pine Tree RD
- Ithaca, NY 14850-2819
Phone: (607) 273-2035
Specialties
- Pharmacotherapy Pharmacist (1835P1200X)
Full Record
- NPI
- 1689258543
- Entity Type
- Individual
- Last Name
- Dibona
- First Name
- Jessica
- Middle Name
- Lynn
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 330 Pine Tree RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2819
- Mailing Country
- US
- Mailing Phone
- (607) 273-2035
- Practice Street Address
- 330 Pine Tree RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2819
- Practice Country
- US
- Practice Phone
- (607) 273-2035
- Practice Fax
- (607) 273-0316
- Enumeration Date
- May 07, 2021
- Last Updated
- May 07, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacotherapy Pharmacist (1835P1200X)