Provider Demographics
NPI:1356311971
Name:LIMERI, DEAN J (MD)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:J
Last Name:LIMERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:600 MCCLELLAN ST
Mailing Address - Street 2:2 WEST
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1009
Mailing Address - Country:US
Mailing Address - Phone:518-347-5400
Mailing Address - Fax:518-347-5222
Practice Address - Street 1:460 SARATOGA RD
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-5219
Practice Address - Country:US
Practice Address - Phone:518-243-3360
Practice Address - Fax:518-243-3375
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY158937207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000401287001OtherBLUE SHIELD
NY158937OtherWORKERS' COMP
NY01036575Medicaid
NY26141OtherMVP - PEDIATRICS
NY5534380OtherAETNA
NY10001193OtherCDPHP
NY11311OtherMVP-INTERNAL MEDICINE
NY55E181OtherBLUE CROSS
NY040426006675OtherFIDELIS
NY10494721OtherCAQH
NY11311OtherMVP-INTERNAL MEDICINE
NY10001193OtherCDPHP