Desantis, Kimberly M

Desantis, Kimberly M is an individual health care provider with primary practice located at 415 Hooper Rd Endwell Family Physicians Llp, Endwell NY 13760-3646. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Desantis, Kimberly M can be contacted via phone (607) 754-3863.

Contact Information

Primary practice address
415 Hooper Rd Endwell Family Physicians Llp Endwell NY 13760-3646
Phone: (607) 754-3863
Fax: (607) 754-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 211449 New York

Profile Details

NPI number 1376578724
LBN Legal business name Desantis, Kimberly M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1376578724 NPPES
Other 10074276 CDPHP
Other 7455028 CDPHP
MEDICAID 01943728 CDPHP
Other 5997006 CDPHP
Other 699965 CDPHP
Other 71561388 CDPHP
Other 153925 CDPHP
Other 153925 CDPHP
Other 699965 CDPHP
Other 153925 CDPHP
Other 153925 CDPHP
Other 7455028 CDPHP
Other 153925 CDPHP
Other 76410 CDPHP

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