Search › New York › 225700000X
Kristy Dibelka, LMT
NPI 1770755274 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4079 Lake Rd N
Brockport, NY 14420 - Phone
- (585) 697-4489
- Organisation at this address
- Evergreen Family Medicine, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York