MEDICARE: ANTHONY S DEE M.D.

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
1	207N00000X	Dermatology Physician	214167-1	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1699771832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY S DEE M.D.

Provider Business Mailing Address
First Line	:	9276 MAIN ST STE 1A
Second Line	:	PO BOX 554
City	:	CLARENCE
State	:	NY
Zip	:	14031-0554
Country	:	US
Telephone Number	:	716-759-7759
Fax Number	:	716-759-1759

Provider Business Practice Location Address
First Line	:	9276 MAIN ST STE 1A
Second Line	:
City	:	CLARENCE
State	:	NY
Zip	:	14031-0554
Country	:	US
Telephone Number	:	716-759-7759
Fax Number	:	716-759-1759

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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