Dean Deroberts (NPI# 1396771424, PAC ID# 9537263116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1396771424 |
| PAC ID by PECOS | 9537263116 |
| Professional Enrollment ID | I20110422000139 |
| Full Name | Dean Deroberts |
| Address |
3107 E Genesee St Syracuse NY 13224-1646 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330241 | UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3107 E Genesee St, Syracuse, NY 13224-1646 |
| Street Address |
3107 E GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip | 13224-1646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Robert Hampton | Ophthalmology | Retina-vitreous Surgeons of Central New York PC | 3107 E Genesee St, Syracuse, NY 13224-1646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Lemieux | Optometry | Empire Vision Center Inc | 2921 Erie Blvd E, Syracuse, NY 13224-1430 |
| Deborah L Schu | Nurse Practitioner | Ia Tangoren Md Pllc | 2949 Erie Blvd E, Suite 110, Syracuse, NY 13224-1460 |
| Alisa Murphy | Physician Assistant | Ia Tangoren Md Pllc | 2949 Erie Blvd E, Suite 110, Syracuse, NY 13224-1460 |
| Ibrahim A Tangoren | Dermatology | Ia Tangoren Md Pllc | 2949 Erie Blvd E, Suite 110, Syracuse, NY 13224-1460 |
| Jay M Land | Psychologist, Clinical | 106 Windham Dr, Syracuse, NY 13224-1835 | |
| Joy A Perlow | Clinical Social Worker | 106 Windham Dr, Syracuse, NY 13224-1835 | |
| Mark A Matloff | Psychologist, Clinical | 409 Standish Dr, Syracuse, NY 13224-2013 | |
| Christine M Allen | Clinical Psychologist | 600 E Genesee St, Syracuse, NY 13224-3101 |
| City | SYRACUSE |
| Zip Code | 13224 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SYRACUSE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Dean Deroberts.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.