DR. MARK DESANTIS D.O. NPI 1053424192

NPI Information

NPI: 1053424192
Provider Name: DR. MARK DESANTIS, D.O.
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
79 MIDDLEVILLE RD
NORTHPORT, NY
ZIP 11768
Phone: (631) 261-4400
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DR. Mark Desantis, D.O. is a body imaging radiology in Northport, NY. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Mark Desantis, D.O. NPI is 1053424192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

79 MIDDLEVILLE RD
NORTHPORT, NY
ZIP 11768
Phone: (631) 261-4400

The enumeration date for this NPI number is 8/15/2006 and was last updated on 11/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	25MB08021500	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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