IndividualActive
Janet Dibartolo
NPI 1790429660 · Pain Medicine Physician · Port Jefferson, NY
Provider details
- NPI number
- 1790429660
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 013117 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
640 Belle Terre Rd Bldg J
Port Jefferson, NY 11777-1936
Phone: (631) 828-5361
Approximate (ZIP-level) locationGet directions
Mailing address
640 Belle Terre Rd
Port Jefferson, NY 11777-1936
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2022-04-26
- Certified
- 2022-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.