| Frederick Lee Dutton, MD | |
|
7785 N State St Ste 210, Lowville, NY 13367-1297 | |
| (315) 376-5475 | |
| (315) 376-5129 |
| Full Name | Frederick Lee Dutton |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 7785 N State St Ste 210, Lowville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154352797 | NPI | - | NPPES |
| 02684980 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD21812 (Maine) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 237190 (New York) | Primary |
| Entity Name | Lewis County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659433217 PECOS PAC ID: 2668463779 Enrollment ID: O20041006001059 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Lee Dutton, MD 7785 N State St Ste 210, Lowville, NY 13367-1297 Ph: (315) 376-5475 | Frederick Lee Dutton, MD 7785 N State St Ste 210, Lowville, NY 13367-1297 Ph: (315) 376-5475 |
Martha Lynn Pisaniello, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St Fl 3, Lowville, NY 13367 Phone: 315-376-5287 Fax: 315-376-3228 | |
Dr. Eldad Vered, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St Ste 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 | |
Dr. Cynthia H Fraser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-348-8407 Fax: 315-376-5129 | |
Dr. Adewale Kabir Adegbenro, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7785 N State St, Lowville, NY 13367 Phone: 315-376-9626 Fax: 315-376-5444 | |
Josefina Tan- Domingo, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 | |
Dr. Lindsey Danielle Huber, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Suite 210, Lowville, NY 13367 Phone: 315-376-5475 Fax: 315-376-5129 |