Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Dibernardo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306062203

Mark Dibernardo is an Addiction (Substance Use Disorder) Counselor in Latham, New York. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

636 New Loudon Rd
Latham, NY 12110-4002
Phone: (518) 783-5381
Fax: (518) 783-0125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1306062203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address636 New Loudon Rd, Latham, NY 12110-4002

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