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NPI Code Detail

MEDICARE: DR. IAN JD CAISLEY MD

MEDICARE:  DR. IAN JD CAISLEY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician211732NY
2207R00000XInternal Medicine Physician211732NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033118534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IAN JD CAISLEY MD
Provider Business Mailing Address
First Line : 111 E MAIN ST
Second Line :
City : WESTFIELD
State : NY
Zip : 14787-1310
Country : US
Telephone Number : 716-326-7200
Fax Number : 716-326-6644
Provider Business Practice Location Address
First Line : 111 E MAIN ST
Second Line :
City : WESTFIELD
State : NY
Zip : 14787-1310
Country : US
Telephone Number : 716-326-7200
Fax Number : 716-326-6644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 02/02/2011

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