Individual provider · Type 1 NPI

Elizabeth Domenica Dibartolo, PA-C

Physician Assistant · New York, NY

NPI number 1194493148 Active

Practice location

160 E 53rd St
New York, NY 10022-5243

Mailing address

7521 Furmanville Ave
Middle Village, NY 11379-2221

Other practice locations

  • 622 W 168th St, New York, NY 10032-3720 · (877) 426-5637

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X027316 (NY)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194493148

Elizabeth Domenica Dibartolo, PA-C's National Provider Identifier is 1194493148, issued on Sep 3, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Nov 13, 2025.