Provider Demographics
NPI:1265106132
Name:DIBELLA, SYDNEY (SLP)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:
Last Name:DIBELLA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:SURRAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:19521 37TH AVE # 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-4006
Mailing Address - Country:US
Mailing Address - Phone:347-954-7361
Mailing Address - Fax:
Practice Address - Street 1:14726 25TH DR
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-1420
Practice Address - Country:US
Practice Address - Phone:347-954-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist