National Provider Identifier

Erikamae Dimagiba, PA

Erikamae Dimagiba, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-3011.

NPI 1316763345Ithaca, NYMedical Physician Assistant

Profile Overview

NPI
1316763345
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
November 25, 2024
Last Updated
April 25, 2025

Practice Location

  • 215 E State St
  • Ithaca, NY 14850-5547

Phone: (607) 274-3011

Mailing Address

  • 5607 31St Ave Apt 1F
  • Woodside, NY 11377-1507

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1316763345
Entity Type
Individual
Last Name
Dimagiba
First Name
Erikamae
Credential
PA
Mailing Street Address
5607 31St Ave Apt 1F
Mailing City
Woodside
Mailing State
NY
Mailing ZIP Code
11377-1507
Mailing Country
US
Practice Street Address
215 E State St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5547
Practice Country
US
Practice Phone
(607) 274-3011
Enumeration Date
November 25, 2024
Last Updated
April 25, 2025
Sex
Female
Sole Proprietor
No
Certification Date
April 25, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)