National Provider Identifier

Erin E Diebold, PA

Erin E Diebold, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in West Seneca, NY and a listed phone number of (716) 668-3600.

NPI 1164489415West Seneca, NYPhysician Assistant

Profile Overview

NPI
1164489415
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 28, 2006
Last Updated
November 17, 2009

Practice Location

  • 120 Gardenville Parkway West
  • West Seneca Health Center
  • West Seneca, NY 14224

Phone: (716) 668-3600

Mailing Address

  • 120 Gardenville Pkwy W
  • Attn: Betty Piccillo
  • West Seneca, NY 14224-1324

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1164489415
Entity Type
Individual
Last Name
Diebold
First Name
Erin
Middle Name
E
Credential
PA
Provider Other Last Name
Smith
Provider Other First Name
Erin
Provider Other Last Name Type Code
1
Mailing Street Address
120 Gardenville Pkwy W
Mailing Address Line 2
Attn: Betty Piccillo
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-1324
Mailing Country
US
Mailing Phone
(716) 857-6150
Mailing Fax
(716) 656-4074
Practice Street Address
120 Gardenville Parkway West
Practice Address Line 2
West Seneca Health Center
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224
Practice Country
US
Practice Phone
(716) 668-3600
Practice Fax
(716) 656-4223
Enumeration Date
April 28, 2006
Last Updated
November 17, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
9513164 (NY, Iha), 11563367 (NY, Caqh), 040511000518 (NY, Fidelis Care), 000570455002 (NY, BCBS Of Wny), 177012DL (NY, Preferred Care)