Maryanne Desantis MD

NPI 1174507594 - Psychiatry & Neurology - 2084F0202X

NPI Details
NPI 1174507594
Gender Female
Enumeration Date 11/30/2005
Last Updated 08/01/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
375 SEGUINE AVE
STATEN ISLAND NY, 10309-3932, US
Phone (718) 226-2440
Fax
Business Location
1 EDGEWATER ST
6TH FL. PAYER RELATION
STATEN ISLAND NY, 10305-4900, US
Phone (718) 226-1008
Fax (718) 226-1039
Toxanomy
Taxonomy Code 2084F0202X
License State New York
License Number 190585
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According to our database, Dr. Maryanne Desantis MD NPI is 1174507594, taxonomy code is 2084F0202X and license number is 190585, license state is located at New York. Maryanne Desantis MD physically located at 375 Seguine Ave, Staten Island NY, 10309-3932. NPI Number Maryanne Desantis MD has the Individual type.

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1174507594 NPI number is provided on an as is basis without warranty of any kind. 1174507594 is maintained by the National Plan & Provider Enumeration System. The contents of Maryanne Desantis MD are for informational purposes only.