Individual
DR. ANTHONY RICHARD DEBONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5898 BRIDGE ST, EAST SYRACUSE, NY 13057-1305
(315) 663-0112
(315) 663-0132
Mailing address
5898 BRIDGE ST, EAST SYRACUSE, NY 13057-6603
(315) 663-0112
(315) 663-0132
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
207006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7252
ASPS#
NY
01
—
RB7624
MEDICARE PTAN
NY
Enumeration date
10/10/2006
Last updated
05/11/2020
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