MICHAEL DIBIASE
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1245627801- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 100 GRAND ST FL 1, NEW BRITAIN, CT, 060522016
- Phone
- (860) 224-5011
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
Primary License: CT #63949
Psychiatry & Neurology, Psychiatry
License: VA #203677
All Addresses
MAILING
100 GRAND ST FL 1
NEW BRITAIN, CT, 060522016