National Provider Identifier
Eric Dibben, PA
Eric Dibben, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Derby, NY and a listed phone number of (716) 947-0408.
Profile Overview
- NPI
- 1518389238
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 15, 2014
- Last Updated
- November 15, 2016
Practice Location
- 7060 Erie RD
- Derby, NY 14047-9430
Phone: (716) 947-0408
Mailing Address
- 50 Leroy St
- Potsdam, NY 13676-1786
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1518389238
- Entity Type
- Individual
- Last Name
- Dibben
- First Name
- Eric
- Credential
- PA
- Mailing Street Address
- 50 Leroy St
- Mailing City
- Potsdam
- Mailing State
- NY
- Mailing ZIP Code
- 13676-1786
- Mailing Country
- US
- Mailing Phone
- (315) 265-3300
- Mailing Fax
- (315) 261-6025
- Practice Street Address
- 7060 Erie RD
- Practice City
- Derby
- Practice State
- NY
- Practice ZIP Code
- 14047-9430
- Practice Country
- US
- Practice Phone
- (716) 947-0408
- Practice Fax
- (716) 947-0413
- Enumeration Date
- January 15, 2014
- Last Updated
- November 15, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)