Joseph Depra in Wayland - Family Medicine

Joseph Depra - NPI 1851379929

Joseph Depra is a Family Medicine in Wayland, New York. Joseph Depra practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Joseph Depra is 1851379929. The last update date is 2015-06-01.

Joseph Depra's current location address is 200 N Main St, Wayland, New York. You can contact this provider via phone number 5857285131 and fax number 5857289305. The mailing address for Joseph Depra is 200 N Main St, Wayland, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Depra
Address 200 N Main St, Wayland, New York
Phone Number 5857285131
Fax Number 5857289305
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1851379929
Provider Enumeration Date 2006-01-09
Last Updated Date 2015-06-01

Provider Mailing Address Detail

Address 200 N Main St
City Wayland
State New York (NY)
Post Code 145721034
Phone Number 5857285131
Fax Number 5857289305

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 181792-1
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
1282306 NY --
181792 NY PREFERRED CARE

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FAQs about Joseph Depra

What is the unique provider identifier assigned to Joseph Depra?

The Joseph Depra has been issued the NPI (National Provider Identifier) 1851379929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Joseph Depra is physically located?

The Joseph Depra is situated at the following address: 200 N Main St, Wayland, NY 145721034.

What is the Joseph Depra's specialty and taxonomy code?

The Joseph Depra's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1851379929 to Joseph Depra?

The Centers for Medicare & Medicaid Services assigned the 1851379929 to Joseph Depra on 2006-01-09.

When was the Joseph Depra's information last updated?

The Joseph Depra's information was last updated on 2015-06-01.

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