person
Dr. Mark Desantis, DO
Body Imaging Physician in Northport, New York
NPI 1053424192

Mark Desantis is a Body Imaging Physician based in Northport, NY and is specialized in Body Imaging. Mark Desantis practices in Northport, NY and has the professional credentials of DO. The NPI Number for Mark Desantis is 1053424192 and holds a License No. 25MB08021500 (New York).

The current practice location address for Mark Desantis is 79 Middleville Rd, Northport, NY and can be reached out via phone at 631-261-4400.

Location: 79 Middleville Rd, Northport, NY, 11768-2200
person
Provider Profile Details
NPI Number
1053424192
Provider Name
Mark Desantis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
79 Middleville Rd, Northport, NY, 11768-2200
Phone Number
631-261-4400
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
79 Middleville Rd
City
State
Zip
11768
Phone Number
631-261-4400
Fax Number
person
Provider Business Mailing Address Details
Address
79 Middleville Rd
City
State
Zip
11768
Phone Number
631-261-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
25MB08021500 (New Jersey)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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