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DEAN J LIMERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
460 SARATOGA RD, SCOTIA, NY 12302-5219
(518) 243-3360
(518) 243-3375
Mailing address
600 MCCLELLAN ST, 2 WEST, SCHENECTADY, NY 12304-1009
(518) 347-5400
(518) 347-5222

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158937
NY
208000000X
Pediatrics Physician
158937
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000401287001
BLUE SHIELD
NY
05
01036575
NY
01
040426006675
FIDELIS
NY
01
10001193
CDPHP
NY
01
10494721
CAQH
NY
01
11311
MVP-INTERNAL MEDICINE
NY
01
158937
WORKERS' COMP
NY
01
26141
MVP - PEDIATRICS
NY
01
5534380
AETNA
NY
01
55E181
BLUE CROSS
NY
Enumeration date
01/25/2006
Last updated
08/09/2011
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