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Individual
ANTHONY JAMES DEDOUSIS
Active
Individual
ANTHONY JAMES DEDOUSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
156931
NC
2084P0800X
Psychiatry Physician
274056
NY
2084P0804X
Child & Adolescent Psychiatry Physician
156931
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
274056
NY
Other
Enumeration date
05/28/2009
Last updated
12/20/2017
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