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Gillian Dibich, PA

Physician Assistant in Syracuse, NY. Individual provider (NPI-1).

NPI number1215512876
StatusActive
Last updated in NPPESMar 3, 2026

Details

NPI
1215512876
Entity type
Individual (NPI-1)
Name
Gillian Dibich
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2021
Certification date
Mar 3, 2026
Last updated
Mar 3, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant034823NYYes

Practice location

90 Presidential Plaza
Syracuse, NY 13202

Phone 315-464-3833 · Fax 315-464-3791

Mailing address

251 Salina Meadows Parkway
Suite 100
Syracuse, NY 13212

Phone 315-464-2000 · Fax 315-464-2010

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