Organization
DEROBERTS PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN DEROBERTS MD (PRESIDENT)
(315) 299-5313
Entity
Organization
Contact information
Practice address
4850 BROAD RD, SUITE 2G, SYRACUSE, NY 13215-5100
(315) 299-5313
(315) 299-5661
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2126
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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