National Provider Identifier
Jenna Elyse Diliberta, PA-C
Jenna Elyse Diliberta, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Depew, NY and a listed phone number of (716) 668-5331.
Profile Overview
- NPI
- 1942984679
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 13, 2023
- Last Updated
- June 13, 2023
Practice Location
- 4711 Transit RD Ste 1
- Depew, NY 14043-4888
Phone: (716) 668-5331
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1942984679
- Entity Type
- Individual
- Last Name
- Diliberta
- First Name
- Jenna
- Middle Name
- Elyse
- Credential
- PA-C
- Mailing Street Address
- 4711 Transit RD Ste 1
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-4888
- Mailing Country
- US
- Mailing Phone
- (716) 668-5331
- Practice Street Address
- 4711 Transit RD Ste 1
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4888
- Practice Country
- US
- Practice Phone
- (716) 668-5331
- Enumeration Date
- June 13, 2023
- Last Updated
- June 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)