National Provider Identifier
Bill David Dienstag, PAC
Bill David Dienstag, PAC is listed in the NPPES registry with a primary specialty of Physician Assistant in Elmira, NY and a listed phone number of (607) 737-7780.
Profile Overview
- NPI
- 1104120575
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 29, 2010
- Last Updated
- March 07, 2023
Practice Location
- 600 Ivy St
- Suite 201
- Elmira, NY 14905-1627
Phone: (607) 737-7780
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1104120575
- Entity Type
- Individual
- Last Name
- Dienstag
- First Name
- Bill
- Middle Name
- David
- Name Prefix
- Mr.
- Credential
- PAC
- 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
- Practice Street Address
- 600 Ivy St
- Practice Address Line 2
- Suite 201
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1627
- Practice Country
- US
- Practice Phone
- (607) 737-7780
- Practice Fax
- (607) 737-7788
- Enumeration Date
- December 29, 2010
- Last Updated
- March 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 006144 (NY, Ny State License), 04297325 (NY)