Provider Demographics
NPI:1346578234
Name:DIKY, REBEKAH B (PA)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:B
Last Name:DIKY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:424 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9579
Mailing Address - Country:US
Mailing Address - Phone:413-253-0483
Mailing Address - Fax:413-253-0576
Practice Address - Street 1:424 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9579
Practice Address - Country:US
Practice Address - Phone:413-253-0483
Practice Address - Fax:413-253-0576
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2024-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA4596363AM0700X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical