National Provider Identifier
Debra Jean Dibartolo, FNP
Debra Jean Dibartolo, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 273-5500.
Profile Overview
- NPI
- 1881981330
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 06, 2011
- Last Updated
- April 23, 2024
Practice Location
- 334 W State St
- Ithaca, NY 14850-5432
Phone: (607) 273-5500
Specialties
- Family Nurse Practitioner (363LF0000X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1881981330
- Entity Type
- Individual
- Last Name
- Dibartolo
- First Name
- Debra
- Middle Name
- Jean
- Credential
- FNP
- Mailing Street Address
- 334 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5432
- Mailing Country
- US
- Mailing Phone
- (607) 273-5500
- Mailing Fax
- (607) 273-1277
- Practice Street Address
- 334 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5432
- Practice Country
- US
- Practice Phone
- (607) 273-5500
- Practice Fax
- (607) 273-1277
- Enumeration Date
- July 06, 2011
- Last Updated
- April 23, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 23, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Addiction (Substance Use Disorder) Counselor (101YA0400X), Psychiatric/Mental Health Nurse Practitioner (363LP0808X)