Individual provider · Type 1 NPI

Matthew Tyler Dimick

Psychiatric/Mental Health Registered Nurse · Elmira, NY

NPI number 1407763790 Active

Practice location

100 Washington St
Elmira, NY 14901-2849

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XN47004-01 (NY)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1407763790

Matthew Tyler Dimick's National Provider Identifier is 1407763790, issued on Aug 25, 2026. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Elmira, NY. The record was last updated on Aug 25, 2026.