National Provider Identifier

Michael Paul David Dibella, MD

Michael Paul David Dibella, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 828-2577.

NPI 1760471072Buffalo, NYEmergency Medicine Physician

Profile Overview

NPI
1760471072
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
October 19, 2005
Last Updated
January 31, 2018

Practice Location

  • 565 Abbott RD
  • Buffalo, NY 14220-2039

Phone: (716) 828-2577

Mailing Address

  • 200 Corporate Blvd
  • Lafayette, LA 70508-3870

Specialties

  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1760471072
Entity Type
Individual
Last Name
Dibella
First Name
Michael
Middle Name
Paul David
Credential
MD
Mailing Street Address
200 Corporate Blvd
Mailing City
Lafayette
Mailing State
LA
Mailing ZIP Code
70508-3870
Mailing Country
US
Mailing Phone
(800) 893-9698
Practice Street Address
565 Abbott RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-2039
Practice Country
US
Practice Phone
(716) 828-2577
Enumeration Date
October 19, 2005
Last Updated
January 31, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X)
Other Identifiers
3990917 (NY, Independent Health), 00026056702 (NY, Univera), 000525135003 (NY, Blue Cross Blue Shield)