Anselmo D. Deasis M.d. | |
7433 State Route 54 Bath NY 14810 | |
(607) 776-9198 | |
(607) 776-9199 |
Full Name | Anselmo D. Deasis M.d. |
---|---|
Speciality | Internal Medicine |
Location | 7433 State Route 54, Bath, New York |
Authorized Official Name and Position | Anselmo D Deasis (M.D.) |
Authorized Official Contact | 6077769198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anselmo D. Deasis M.d. 111 E 14th St Elmira Heights NY 14903-1303 Ph: (607) 734-9539 | Anselmo D. Deasis M.d. 7433 State Route 54 Bath NY 14810 Ph: (607) 776-9198 |
NPI Number | 1801807037 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801807037 | NPI | - | NPPES |
01267674 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 184984 (New York) | Primary |
Finger Lakes Internists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7603 Route 54, Bath, NY 14810 Phone: 607-776-0163 Fax: 607-776-8032 | |
Ira Davenport Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7571 State Route 54, Bath, NY 14810 Phone: 607-776-8500 Fax: 607-776-8800 | |