NPI 1003092370

Katie Lee Dieterle, RPACAAHIVS

Practitioner Physician Assistant Elmira, NY

Practice location

Address: 600 Roe Ave STE 1f, Elmira, NY 14905-1676
Phone: (607) 795-8161
Fax: (607) 795-8115
Mailing address: 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 012166 (NY)

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Registry record

NPI: 1003092370
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2008
Record last updated: 10 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.