Individual
ANTHONY JAMES DEDOUSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 CLARKSON AVE, R BUILDING, SECOND FLOOR, BROOKLYN, NY 11203-2054
(718) 245-3286
Mailing address
451 CLARKSON AVE, R BUILDING, SECOND FLOOR, BROOKLYN, NY 11203-2054
(718) 245-3286
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
156931
NC
2084P0800X
Psychiatry Physician
274056
NY
2084P0804X
Child & Adolescent Psychiatry Physician
156931
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
274056
NY
Other
Enumeration date
05/28/2009
Last updated
12/20/2017
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