Laura Susan Dibble, MD - Psychiatry & Neurology in Ithaca, NY

Laura Susan Dibble, MD is a Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Ithaca, New York. Laura Susan Dibble is licensed to practice in New York (license number 204383) and her current practice location is 555 Warren Rd, Tst Boces, Ithaca, New York. She can be reached at her office (for appointments etc.) via phone at (315) 253-9795.

NPI number for Laura Susan Dibble is 1629085048 and her current mailing address is Po Box 295, Manlius, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629085048.

Contact Information

Laura Susan Dibble, MD
555 Warren Rd, Tst Boces,
Ithaca, NY 14850-1862
(315) 253-9795
(315) 253-3255

Map and Direction




Physician's Profile

Full NameLaura Susan Dibble
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location555 Warren Rd, Ithaca, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629085048
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 01/09/2014

Medical Identifiers

Medical identifiers for Laura Susan Dibble such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629085048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 204383 (New York)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 204383 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Susan Dibble is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laura Susan Dibble, MD
Po Box 295,
Manlius, NY 13104-0295

Ph: (315) 420-3030
Laura Susan Dibble, MD
555 Warren Rd, Tst Boces,
Ithaca, NY 14850-1862

Ph: (315) 253-9795

Reviews and Comments


Psychiatry & Neurology Doctors in Ithaca, NY

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Medicare: Accepting Medicare Assignments
Practice Location: 8 Brentwood Dr, Suite B, Ithaca, NY 14850
Phone: 607-273-6757    Fax: 607-273-2854

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