Desai, Geeta Prasanna

Desai, Geeta Prasanna is an individual health care provider with primary practice located at 146 Pike St , Port Jervis NY 12771-1808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Desai, Geeta Prasanna can be contacted via phone (845) 858-1456.

Contact Information

Primary practice address
146 Pike St Port Jervis NY 12771-1808
Phone: (845) 858-1456
Fax: (845) 858-1459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1112441 New York

Profile Details

NPI number 1639167406
LBN Legal business name Desai, Geeta Prasanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639167406 NPPES
Other AD6202650 US DEPT OF JUSTICE
MEDICAID 00542503 US DEPT OF JUSTICE

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