Dale L. Deahn, M.d., P.c. | |
401 Main St Arcade NY 14009-1113 | |
(585) 492-5088 | |
Not Available |
Full Name | Dale L. Deahn, M.d., P.c. |
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Speciality | Family Medicine |
Location | 401 Main St, Arcade, New York |
Authorized Official Name and Position | Dale L Deahn (PRESIDENT) |
Authorized Official Contact | 5854925088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dale L. Deahn, M.d., P.c. 401 Main St Arcade NY 14009-1113 Ph: (585) 492-5088 | Dale L. Deahn, M.d., P.c. 401 Main St Arcade NY 14009-1113 Ph: (585) 492-5088 |
NPI Number | 1760694269 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 05/17/2021 |
Medicare PECOS PAC ID | 6103859186 |
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Medicare Enrollment ID | O20050912000812 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760694269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dale L Deahn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871573378 PECOS PAC ID: 0648203620 Enrollment ID: I20050912000833 |
Gordon F Comstock Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Liberty St, Arcade, NY 14009 Phone: 585-492-4010 Fax: 585-436-5008 |