Individual provider · Type 1 NPI

Stephen Gennaro Diblasio, DO

Student in an Organized Health Care Education/Training Program · Southampton, NY

NPI number 1104628627 Active

Practice location

240 Meeting House Ln
Southampton, NY 11968-5009

Call (631) 726-8200 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104628627

Stephen Gennaro Diblasio, DO's National Provider Identifier is 1104628627, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southampton, NY. The record was last updated on Mar 25, 2025.