National Provider Identifier

Deidre Chang Anastas, MD

Deidre Chang Anastas, MD is listed in the NPPES registry with a primary specialty of Pediatric Cardiology Physician in Rochester, NY and a listed phone number of (585) 275-2820.

NPI 1265827596Rochester, NYPediatric Cardiology Physician

Profile Overview

NPI
1265827596
Provider Type
Individual
Primary Specialty
Pediatric Cardiology Physician
Enumeration Date
April 02, 2015
Last Updated
April 11, 2022

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2820

Mailing Address

  • 601 Elmwood Avenue Box 631
  • Rochester, NY 14642-0001

Specialties

  • Pediatric Cardiology Physician (2080P0202X)
  • Pediatric Critical Care Medicine Physician (2080P0203X)
Full Record
NPI
1265827596
Entity Type
Individual
Last Name
Anastas
First Name
Deidre
Middle Name
Chang
Credential
MD
Provider Other Last Name
Chang
Provider Other First Name
Deidre
Provider Other Middle Name
Reiling
Provider Other Credential Text
MD
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Avenue Box 631
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-2820
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2820
Enumeration Date
April 02, 2015
Last Updated
April 11, 2022
Sex
Female
Sole Proprietor
No
Certification Date
April 10, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Cardiology Physician (2080P0202X), Pediatric Critical Care Medicine Physician (2080P0203X)