Provider Demographics
NPI:1992071195
Name:DIBRITO, SANDRA RENAE (MD PHD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:RENAE
Last Name:DIBRITO
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:24 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-6704
Mailing Address - Country:US
Mailing Address - Phone:970-409-8005
Mailing Address - Fax:
Practice Address - Street 1:50 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3403
Practice Address - Country:US
Practice Address - Phone:518-264-4477
Practice Address - Fax:518-262-4926
Is Sole Proprietor?:No
Enumeration Date:2012-04-01
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY3168622086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology