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Organization
WYOMING COUNTY FAMILY MEDICINE PC
Active
Organization
WYOMING COUNTY FAMILY MEDICINE PC
Active
Parent organization
WY CNTY COMM HOSP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WY CNTY COMM HOSP
Authorized official
DALE DEAHN MD (OWNER)
(585) 492-5088
Entity
Organization
Contact information
Practice address
5596 GAINESVILLE ROAD, CASTILE, NY 14427
(585) 793-9230
Mailing address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-8940
(585) 492-4681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
12/06/2019
Last updated
02/08/2022
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