National Provider Identifier

Anselmo D. Deasis M.D.

Anselmo D. 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 1801807037Bath, NYInternal Medicine Physician

Source: public NPPES record, last updated June 18, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1801807037
Provider Type
Organization
Primary Specialty
Internal Medicine Physician
Enumeration Date
August 11, 2006
Last Updated
June 18, 2008

Practice Location

  • 7433 State Route 54
  • Bath, NY 14810

Phone: (607) 776-9198

Mailing Address

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

Authorized Official

Name
Anselmo D Deasis
Title
M.D.
Credentials
M.D.
Phone
(607) 776-9198

Specialties

  • Internal Medicine Physician (207R00000X)

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Full Record
NPI
1801807037
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Anselmo D. Deasis 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
14810
Practice Country
US
Practice Phone
(607) 776-9198
Practice Fax
(607) 776-9199
Enumeration Date
August 11, 2006
Last Updated
June 18, 2008
Authorized Official Last Name
Deasis
Authorized Official First Name
Anselmo
Authorized Official Middle Name
D
Authorized Official Title
M.D.
Authorized Official Phone
(607) 776-9198
Organization Subpart
No
Authorized Official Credential Text
M.D.
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
01267674 (NY)