Provider Demographics
NPI:1629179379
Name:ASSANTE, WILLIAM J (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:ASSANTE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:50 DAYTON LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2859
Mailing Address - Country:US
Mailing Address - Phone:914-739-0087
Mailing Address - Fax:914-737-1714
Practice Address - Street 1:1985 CROMPOND RD
Practice Address - Street 2:BLDG D
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4146
Practice Address - Country:US
Practice Address - Phone:914-739-6550
Practice Address - Fax:914-739-4575
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2013-09-03
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Provider Licenses
StateLicense IDTaxonomies
NY185848207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02693910Medicaid
NY111ST1Medicare PIN
NY02693910Medicaid