Individual provider · Type 1 NPI

Erikamae Dimagiba, PA

Medical Physician Assistant · Ithaca, NY

NPI number 1316763345 Active

Practice location

215 E State St
Ithaca, NY 14850-5547

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X033588 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1316763345

Erikamae Dimagiba, PA's National Provider Identifier is 1316763345, issued on Nov 25, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ithaca, NY. The record was last updated on Apr 25, 2025.