Provider Demographics
NPI:1912955642
Name:DIBBLE, CHRISTOPHER THOMAS (MD, MS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:DIBBLE
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:PO BOX 14890
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212-4890
Mailing Address - Country:US
Mailing Address - Phone:518-525-5634
Mailing Address - Fax:518-649-4094
Practice Address - Street 1:2546 BALLTOWN RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1079
Practice Address - Country:US
Practice Address - Phone:518-377-8184
Practice Address - Fax:518-381-1696
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-11-04
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Provider Licenses
StateLicense IDTaxonomies
NY261528207RP1001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease