National Provider Identifier
Katie Lee Dieterle, RPA-C, AAHIVS
Katie Lee Dieterle, RPA-C, AAHIVS is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 795-8161.
Profile Overview
- NPI
- 1003092370
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 16, 2008
- Last Updated
- November 10, 2023
Practice Location
- 600 Roe Ave Ste 1F
- Elmira, NY 14905-1676
Phone: (607) 795-8161
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1003092370
- Entity Type
- Individual
- Last Name
- Dieterle
- First Name
- Katie
- Middle Name
- Lee
- Credential
- RPA-C, AAHIVS
- Provider Other Last Name
- Bachman
- Provider Other First Name
- Katie
- Provider Other Middle Name
- Lee
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 600 Roe Ave Ste 1F
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1676
- Practice Country
- US
- Practice Phone
- (607) 795-8161
- Practice Fax
- (607) 795-8115
- Enumeration Date
- January 16, 2008
- Last Updated
- November 10, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 02966498 (NY)