Provider Demographics
NPI:1619232741
Name:DI BELLA, BRITTNEY DIANE (DO)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:DIANE
Last Name:DI BELLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:DIANE
Other - Last Name:BORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 MOTOR PKWY
Mailing Address - Street 2:SUITE #309
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-5101
Mailing Address - Country:US
Mailing Address - Phone:631-514-7600
Mailing Address - Fax:631-813-1472
Practice Address - Street 1:1 HEALTHY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1551
Practice Address - Country:US
Practice Address - Phone:516-632-4751
Practice Address - Fax:516-336-2941
Is Sole Proprietor?:No
Enumeration Date:2012-07-04
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY383585-1207P00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program