Deasis, Anselmo
Deasis, Anselmo is an sole proprietor health care provider with primary practice located at 7433 State Route 54 , Bath NY 14981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deasis, Anselmo can be contacted via phone (607) 776-9198.Contact Information
Primary practice address
7433 State Route 54
Bath NY 14981
Phone: (607) 776-9198
Fax: (607) 776-9199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 184984 | New York |
Profile Details
| NPI number | 1427082908 |
|---|---|
| LBN Legal business name | Deasis, Anselmo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 23rd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427082908 | NPPES |
| New York | MEDICAID | 01267674 |
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