Provider Demographics
NPI:1245399146
Name:GHISALBERT, DIONE ADELE (DO)
Entity Type:Individual
Prefix:DR
First Name:DIONE
Middle Name:ADELE
Last Name:GHISALBERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:157-9 SUMMERFIELD STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-472-1345
Mailing Address - Fax:914-472-5980
Practice Address - Street 1:157-9 SUMMERFIELD STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-472-1345
Practice Address - Fax:914-472-5980
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1977692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry