Individual provider · Type 1 NPI

Gillian Dibich, PA

Physician Assistant · Syracuse, NY

NPI number 1215512876 Active

Practice location

90 Presidential Plaza
Syracuse, NY 13202

Fax (315) 464-3791

Mailing address

251 Salina Meadows Parkway, Suite 100
Syracuse, NY 13212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X034823 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215512876

Gillian Dibich, PA's National Provider Identifier is 1215512876, issued on Mar 16, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Syracuse, NY. The record was last updated on Mar 3, 2026.