National Provider Identifier
Joseph Depra, MD
Joseph Depra, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Wayland, NY and a listed phone number of (585) 728-5131.
Profile Overview
- NPI
- 1851379929
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- January 09, 2006
- Last Updated
- June 01, 2015
Practice Location
- 200 N Main St
- Wayland, NY 14572-1034
Phone: (585) 728-5131
Mailing Address
- PO Box 601
- 10869 Rte 36 South
- Dansville, NY 14437-0601
Specialties
- Family Medicine Physician (207Q00000X)
- Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X)
Full Record
- NPI
- 1851379929
- Entity Type
- Individual
- Last Name
- Depra
- First Name
- Joseph
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- PO Box 601
- Mailing Address Line 2
- 10869 Rte 36 South
- Mailing City
- Dansville
- Mailing State
- NY
- Mailing ZIP Code
- 14437-0601
- Mailing Country
- US
- Mailing Phone
- (585) 335-3416
- Mailing Fax
- (585) 335-8695
- Practice Street Address
- 200 N Main St
- Practice City
- Wayland
- Practice State
- NY
- Practice ZIP Code
- 14572-1034
- Practice Country
- US
- Practice Phone
- (585) 728-5131
- Practice Fax
- (585) 728-9305
- Enumeration Date
- January 09, 2006
- Last Updated
- June 01, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X)
- Other Identifiers
- 01282306 (NY), 181792 (NY, Preferred Care)