Sylvia Dibiasi
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Collinsville, CT
NPI 1255809653 · NPPES record last updated Nov 5, 2018
Key facts
- NPI
- 1255809653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 007008 (CT)
- Practice address
- 102 Dyer Ave
Collinsville, CT 06019-3236 - Phone
- (860) 693-7777
- NPI assigned
- Nov 5, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007008 | CT | MD | Clinical Social Worker |
| 7008 | CT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 007008 | CT | Yes |
Addresses
Primary practice location
102 Dyer Ave
Collinsville, CT 06019-3236
Mailing address
93 Cherry Brook Rd
Canton, CT 06019-4506
Phone (860) 716-3079
Other providers in Collinsville, CT
- Counseling With Marissa, LLC
- CPS, LLC (Consultant Psychiatric Services)
- Thomas Crowley
- Dana Farr PHD LLC
- Sandra Delehoy
- Teresa Martin Dotson
- Dory A. Dzinski
- Dorothy Edgar
- Ryan A Edgar
- Dana Farr
All providers in Collinsville, CT · Physical Medicine & Rehabilitation Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.