Provider Demographics
NPI:1457425464
Name:DEAN, WILLIAM HOPE JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HOPE
Last Name:DEAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:252 BILLSBORO RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-9711
Mailing Address - Country:US
Mailing Address - Phone:315-789-1813
Mailing Address - Fax:315-531-2559
Practice Address - Street 1:252 BILLSBORO RD
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-9711
Practice Address - Country:US
Practice Address - Phone:315-789-1813
Practice Address - Fax:315-531-2559
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2008-11-24
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Provider Licenses
StateLicense IDTaxonomies
NY145715207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH70002Medicare PIN
NY70003HMedicare PIN