Provider Demographics
NPI:1912959487
Name:DIBENEDETTO, ALICE ANTONETTA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:ANTONETTA
Last Name:DIBENEDETTO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:262 HANA RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2054
Mailing Address - Country:US
Mailing Address - Phone:212-561-0613
Mailing Address - Fax:917-970-8389
Practice Address - Street 1:262 HANA RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2054
Practice Address - Country:US
Practice Address - Phone:212-561-0613
Practice Address - Fax:917-970-8389
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2022-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2187102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry