George Ellis Dasher in Northville - Family Medicine

George Ellis Dasher - NPI 1376624536

George Ellis Dasher is a Family Medicine in Northville, New York. George Ellis Dasher practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for George Ellis Dasher is 1376624536. The last update date is 2010-09-21.

George Ellis Dasher's current location address is 331 Bridge St., Northville, New York. You can contact this provider via phone number 5188634200 and fax number 5188634787. The mailing address for George Ellis Dasher is 331 Bridge St., Northville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name George Ellis Dasher
Address 331 Bridge St., Northville, New York
Phone Number 5188634200
Fax Number 5188634787
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1376624536
Provider Enumeration Date 2006-10-17
Last Updated Date 2010-09-21

Provider Mailing Address Detail

Address 331 Bridge St.
City Northville
State New York (NY)
Post Code 12134
Phone Number 5188634200
Fax Number 5188634787

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 167898
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1215618 NY --
GDA131121 NM EXCELLUS
8611 NY MOHAWK VALLEY PHYSICIANS
408114001 NY BLUE SHIELD

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FAQs about George Ellis Dasher

What is the unique identifier code issued to George Ellis Dasher by the Centers for Medicare & Medicaid Services (CMS)?

The George Ellis Dasher has been assigned the NPI (National Provider Identifier) 1376624536. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where George Ellis Dasher's facilities are geographically located?

The facilities of George Ellis Dasher are physically situated at the following location: 331 Bridge St., Northville, NY, 12134.

What is George Ellis Dasher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for George Ellis Dasher is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1376624536 to George Ellis Dasher?

The Centers for Medicare & Medicaid Services assigned the 1376624536 to George Ellis Dasher on 2006-10-17.

As of what date were the George Ellis Dasher's details last updated?

The information pertaining to the George Ellis Dasher, including its address, specialty, and other details, was most recently updated on 2010-09-21.

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