Individual
DR. ANTHONY DEPERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3507 UNION RD, CHEEKTOWAGA, NY 14225-5127
(716) 683-1881
Mailing address
3507 UNION RD, CHEEKTOWAGA, NY 14225-5127
(716) 683-1881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IM133016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010041801
UNIVERA
NY
01
—
000508230001
BLUE CROSS
NY
01
—
0074908
GHI
NY
01
—
2102799
INDEPENDENT HEALTH
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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