Desantis, Mark

Desantis, Mark is an individual health care provider with primary practice located at 79 Middleville Rd , Northport NY 11768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Desantis, Mark can be contacted via phone (631) 261-4400.

Contact Information

Primary practice address
79 Middleville Rd Northport NY 11768
Phone: (631) 261-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 25MB08021500 New Jersey

Profile Details

NPI number 1053424192
LBN Legal business name Desantis, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Nov 10th, 2009 - about 16 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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