National Provider Identifier

Anselmo Deasis, M.D.

Anselmo Deasis, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Bath, NY and a listed phone number of (607) 776-9198.

NPI 1427082908Bath, NYInternal Medicine Physician

Profile Overview

NPI
1427082908
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
July 10, 2006
Last Updated
October 23, 2008

Practice Location

  • 7433 State Route 54
  • Bath, NY 14981

Phone: (607) 776-9198

Mailing Address

  • 111 E 14Th St
  • Elmira Heights, NY 14903-1303

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1427082908
Entity Type
Individual
Last Name
Deasis
First Name
Anselmo
Credential
M.D.
Mailing Street Address
111 E 14Th St
Mailing City
Elmira Heights
Mailing State
NY
Mailing ZIP Code
14903-1303
Mailing Country
US
Mailing Phone
(607) 734-9539
Mailing Fax
(607) 734-6293
Practice Street Address
7433 State Route 54
Practice City
Bath
Practice State
NY
Practice ZIP Code
14981
Practice Country
US
Practice Phone
(607) 776-9198
Practice Fax
(607) 776-9199
Enumeration Date
July 10, 2006
Last Updated
October 23, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
01267674 (NY)