Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gillian Dibich, PA

Individual provider Physician Assistant · NPI 1215512876

Gillian Dibich, PA is a Physician Assistant in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with Columbia Lutheran Charities, a 110-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

90 Presidential Plz
Syracuse, NY 13202
Phone: (315) 464-3833
Fax: (315) 464-3791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034823 (NY)

Record details

NPI number1215512876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address251 Salina Meadows Parkway, Suite 100, Syracuse, NY 13212

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Columbia Lutheran Charities — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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