Anselmo D. Deasis M.d.

NPI #1801807037 in Bath, New York

Provider Information

NPI Number: 1801807037
Entity Type: Organization
Organization Name: Anselmo D. Deasis M.d.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 11, 2006
Last Updated: Jun 18, 2008

Practice Location

Address: 7433 STATE ROUTE 54
City: Bath
State: New York
ZIP Code: 14810
Phone: (607) 776-9198

Authorized Official

Name: ANSELMO D DEASIS, M.D.
Title: M.D.
Phone: (607) 776-9198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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