Individual
DR. JOSEPH DEPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 N MAIN ST, WAYLAND, NY 14572-1034
(585) 728-5131
(585) 728-9305
Mailing address
PO BOX 601, 10869 RTE 36 SOUTH, DANSVILLE, NY 14437-0601
(585) 335-3416
(585) 335-8695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
181792-1
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
181792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282306
—
NY
01
—
181792
PREFERRED CARE
NY
Enumeration date
01/09/2006
Last updated
06/01/2015
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