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Individual

DEANN LYNN CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD.

Contact information

Practice address
4104 MEDICAL CENTER DR, SUITE 104, FAYETTEVILLE, NY 13066-6635
(315) 663-0059
(315) 663-0123
Mailing address
5112 WEST TAFT ROAD, SUITE L, LIVERPOOL, NY 13088
(315) 452-2500
(315) 452-2510

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
199180
NY
208M00000X
Hospitalist Physician
199180
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01681630
NY
Enumeration date
07/11/2006
Last updated
01/09/2014
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