Individual
DR. NOCI DEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 OLD MILITARY RD, LAKE PLACID, NY 12946-1939
(518) 523-2464
(518) 523-1401
Mailing address
122 BLOOMINGDALE AVE APT 1, SARANAC LAKE, NY 12983-1223
(518) 523-3496
(518) 523-1401
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
232650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000232650
—
NY
01
—
232650
STATE LICENSE
NY
Enumeration date
08/09/2006
Last updated
03/07/2023
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