Desiderio, Carl
Desiderio, Carl is an individual health care provider with primary practice located at 555 W 23Rd St Apt N 10 P, New York NY 10011-1011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Desiderio, Carl can be contacted via phone (212) 731-2187.Contact Information
Primary practice address
555 W 23Rd St Apt N 10 P
New York NY 10011-1011
Phone: (212) 731-2187
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB03344700 | New Jersey |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MB03344700 | New Jersey |
Profile Details
| NPI number | 1992748495 |
|---|---|
| LBN Legal business name | Desiderio, Carl |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Feb 26th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992748495 | NPPES |
| New Jersey | MEDICAID | 1949306 |
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