Jason Dibartolomeis

NPI #1699158931 in Lockport, New York

Provider Information

NPI Number: 1699158931
Entity Type: Individual
Name: Jason Dibartolomeis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jul 6, 2015
Last Updated: Jul 6, 2015

Practice Location

Address: 6612 LINCOLN AVE
City: Lockport
State: New York
ZIP Code: 14094-6109
Phone: (716) 243-6154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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