Dean, Gary D
Dean, Gary D is an sole proprietor health care provider with primary practice located at 105 Ridgehaven Dr , Vestal NY 13850-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dean, Gary D can be contacted via phone (607) 786-4822.Contact Information
Primary practice address
105 Ridgehaven Dr
Vestal NY 13850-2640
Phone: (607) 786-4822
Fax: (607) 786-3837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 151253 | New York |
Profile Details
| NPI number | 1386739092 |
|---|---|
| LBN Legal business name | Dean, Gary D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Mar 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386739092 | NPPES |
| New York | MEDICAID | 00862859 |
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