Eric Dibben, PA

NPI #1518389238 in Derby, New York

Provider Information

NPI Number: 1518389238
Entity Type: Individual
Name: Eric Dibben, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 15, 2014
Last Updated: Nov 15, 2016

Practice Location

Address: 7060 ERIE RD
City: Derby
State: New York
ZIP Code: 14047-9430
Phone: (716) 947-0408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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