DOMINICK FRANK DIFABIO M.D., NPI 1417109620 — IRVINGTON (NY)

NPI 1417109620

11+ Years Experience Individual

DOMINICK FRANK DIFABIO M.D.

10/21/2008
PROVIDER ENUMERATION DATE
10/21/2008
LAST UPDATE DATE
1417109620
NPI NUMBER

About DOMINICK FRANK DIFABIO

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

DOMINICK FRANK DIFABIO is a provider established in IRVINGTON, NY. The NPI number of DOMINICK FRANK DIFABIO is 1417109620 and was assigned on 10/21/2008. The practitioners primary taxonomy code is: 2084P0804X with license number: 114141 NY .

Mailing address

  • City: IRVINGTON
  • State: NY
  • Postal code: 10533
  • Phone: 9145917300
  • Fax: 9145914080
  • Address: 100 N. BROADWAY

Primary Practice Address

  • Region : IRVINGTON, NY
  • NPI : 1417109620
  • Phone : 9145917300
  • Fax : 9145914080
  • Postalcode : 105331254
  • Address : 100 N BROADWAY

Provider taxonomy - Psychiatry & Neurology

  • Taxonomy code: 2084P0804X
  • License number: 114141
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Contacts:

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  • DOMINICK FRANK DIFABIO M.D.
  • Address : 100 N BROADWAY
  • Region : IRVINGTON, NY
  • NPI : 1417109620
  • Phone : 9145917300
  • Fax : 9145914080
  • Postalcode : 105331254

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address100 N BROADWAY
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameIRVINGTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code105331254
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9145917300
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9145914080
The fax number associated with the location address of the provider being identified.
NPI1417109620
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12084P0804X
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Provider Enumeration Date10/21/2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10/21/2008
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DOMINICK FRANK DIFABIO
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address100 N. BROADWAY
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameIRVINGTON
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code10533
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9145917300
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9145914080
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #12084P0804X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Psychiatry & Neurology
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Provider License Number 1114141
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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