Individual
DR. DALE L DEAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 MAIN ST, ARCADE, NY 14009-1113
(585) 492-5088
Mailing address
401 MAIN ST, ARCADE, NY 14009-1113
(585) 492-5088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00711064
—
NY
Enumeration date
01/19/2006
Last updated
10/14/2020
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