National Provider Identifier
Jason Dibartolomeis
Jason Dibartolomeis is listed in the NPPES registry with a primary specialty of Community Health Worker in Lockport, NY and a listed phone number of (716) 243-6154.
Profile Overview
- NPI
- 1699158931
- Provider Type
- Individual
- Primary Specialty
- Community Health Worker
- Enumeration Date
- July 06, 2015
- Last Updated
- July 06, 2015
Practice Location
- 6612 Lincoln Ave
- Lockport, NY 14094-6109
Phone: (716) 243-6154
Specialties
- Community Health Worker (172V00000X)
Full Record
- NPI
- 1699158931
- Entity Type
- Individual
- Last Name
- Dibartolomeis
- First Name
- Jason
- Mailing Street Address
- 6612 Lincoln Ave
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-6109
- Mailing Country
- US
- Mailing Phone
- (716) 243-6154
- Practice Street Address
- 6612 Lincoln Ave
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-6109
- Practice Country
- US
- Practice Phone
- (716) 243-6154
- Enumeration Date
- July 06, 2015
- Last Updated
- July 06, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community Health Worker (172V00000X)