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

Individual provider Physician Assistant · NPI 1245961119

Madalyn Mae Dillabough, PA is a Physician Assistant in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 2022, 4 years ago. Practices with St Josephs Medical PC, a 385-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
State University of Ny Upstate Medical University
In the registry since
2022
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 13202-2240
Phone: (315) 464-9335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1245961119
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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