Individual
JON L DUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 MAPLE RD, WILLIAMSVILLE, NY 14221-3260
(716) 631-8888
(716) 631-3803
Mailing address
811 MAPLE RD, WILLIAMSVILLE, NY 14221-3260
(716) 631-8888
(716) 631-3803
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
182572-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010049101
UNIVERA
NY
01
—
000523681001
HEALTH NOW
NY
01
—
0021748
GHI
NY
05
—
01566650
—
NY
01
—
0807280
IHA
NY
01
—
161000580
NORTH AMERICAN PREFERRED
NY
01
—
180023659
RR MEDICARE
NY
01
—
182572-8B
WORKERS COMPENSATION
NY
Enumeration date
04/25/2006
Last updated
03/17/2018
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