Dibuono, Mark
Dibuono, Mark is an sole proprietor health care provider with primary practice located at 260 Christopher Lane Ste 3F, Staten Island NY 10314-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dibuono, Mark can be contacted via phone (718) 317-5522.Contact Information
Primary practice address
260 Christopher Lane Ste 3F
Staten Island NY 10314-1607
Phone: (718) 317-5522
Fax: (718) 494-5714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 156059 | New York |
Profile Details
| NPI number | 1538143680 |
|---|---|
| LBN Legal business name | Dibuono, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Apr 20th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538143680 | NPPES |
| New York | MEDICAID | 01392396 |
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