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MR. BILL DAVID DIENSTAG PAC
NPI 1104120575
Physician Assistant in Elmira, NY

Active since December 29, 2010
600 IVY ST, SUITE 201, ELMIRA, NY 14905(607) 737-7780(607) 737-7788 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Bill David Dienstag Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BILL DAVID DIENSTAG PAC (NPI 1104120575) is an individual physician assistant in Elmira, New York, licensed in New York (006144) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1104120575
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BILL DAVID DIENSTAGCredential: PAC
Location Address600 IVY ST, SUITE 201Elmira, NY 14905-1627
Mailing Address571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230 · (607) 271-2050
Phone(607) 737-7780
Fax(607) 737-7788
Sole ProprietorNo
Enumeration DateDecember 29, 2010
Last NPPES UpdateMarch 7, 2023
✔ NPI 1104120575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 006144
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

600 IVY ST, Elmira, NY 14905
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Other Identifiers 2

Other006144NY · Ny State License
Medicaid04297325NY

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVY OBSTETRICS & GYNECOLOGY ASSOC PC
Obstetrics & Gynecology
600 IVY ST
ELMIRA, NY 14905
Chemung County (607) 734-4191
ESPERANZA DUCOT CNM
Advanced Practice Midwife
600 IVY ST
ELMIRA, NY 14905
Chemung County (607) 734-4191
HOWARD E WINER M.D.
Internal Medicine (Interventional Cardiology)
600 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-7780
PATRICIA LOUISE MEINHARDT M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
600 IVY ST, SUITE 106
ELMIRA, NY 14905
Chemung County (607) 737-4539
MARK TERRANCE METZDORFF MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
600 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-7780
CHEMUNG MEDICAL SERVICES PC
Internal Medicine
600 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-4500
EDWARD P NAST M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
600 IVY ST
ELMIRA, NY 14905
Chemung County (607) 737-7780
JANET SHERMAN NP
Nurse Practitioner (Obstetrics & Gynecology)
600 IVY ST
ELMIRA, NY 14905
Chemung County (607) 734-4191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bill Dienstag's NPI number?

The NPI number for Bill Dienstag is 1104120575. It was assigned to this individual provider in the NPPES registry on December 29, 2010.

Where is Bill Dienstag located?

Bill Dienstag practices at 600 Ivy St Suite 201, Elmira, NY 14905. The listed phone number is (607) 737-7780.

What is Bill Dienstag's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bill Dienstag was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.