MEDICARE: DR. DEIRDRE BASTIBLE 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
1	207R00000X	Internal Medicine Physician	164517	NY

General Provider Information

NPI Number	:	1821091794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEIRDRE BASTIBLE MD

Provider Business Mailing Address
First Line	:	20 LOSSON RD
Second Line	:	STE 105
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14227-2379
Country	:	US
Telephone Number	:	716-558-7727
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 LOSSON RD
Second Line	:	STE 105
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14227-2379
Country	:	US
Telephone Number	:	716-558-7727
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992708754 — DR. JOHN KAVCIC MD
Practice Location Address:

20 LOSSON RD , STE 105
CHEEKTOWAGA, NY
14227-2379

Practice Phone: 716-558-7727
Practice Fax:

1700889573 — DR. ORVILLE HENDRICKS MD
Practice Location Address:

20 LOSSON RD , STE 105
CHEEKTOWAGA, NY
14227-2379

Practice Phone: 716-558-7727
Practice Fax:

1831192467 — DR. JOSEPH CERVI MD
Practice Location Address:

20 LOSSON RD , STE 105
CHEEKTOWAGA, NY
14227-2379

Practice Phone: 716-558-7727
Practice Fax:

1275794950 — GREAT LAKES DENTISTRY
Practice Location Address:

20 LOSSON RD STE 110
CHEEKTOWAGA, NY
14227-2379

Practice Phone: 716-668-9700
Practice Fax: 716-668-9702

1881998201 — RAPPOLD FAMILY DENTISTRY
Practice Location Address:

20 LOSSON RD STE 110
CHEEKTOWAGA, NY
14227-2379

Practice Phone: 716-668-9700
Practice Fax: 716-668-9702

1881569622 — EMILY MARIE CARUANA
Practice Location Address:

2563 UNION RD STE 800
CHEEKTOWAGA, NY
14227-2277

Practice Phone: 716-668-7622
Practice Fax:

Directions to “ DR. DEIRDRE BASTIBLE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.