- Practice location
- 82-68 164 Street, Queens Hospital Center, Jamaica, NY 11432
- Phone
- 718-658-5480
- Fax
- —
- Last updated
- October 1, 2018
Mary Shirley Desormes is a Physician Assistant based in Jamaica, NY. Mary Shirley Desormes practices in Jamaica, NY and has the professional credentials of PA. The NPI Number for Mary Shirley Desormes is 1063641009 and holds a License No. 008617-1 (NY). The current practice location address for Mary Shirley Desormes is 82-68 164 Street, Queens Hospital Center, Jamaica, NY 11432 and can be reached out via phone at 718-658-5480.
Provider Profile Details
- NPI Number
- 1063641009
- Provider Name
- Mary Shirley Desormes
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 82-68 164 Street, Queens Hospital Center, Jamaica, NY 11432
- Phone Number
- 718-658-5480
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 13, 2009
- Last Update Date
- October 1, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 82-68 164 Street
Queens Hospital Center
Jamaica, NY 11432 - City
- Jamaica
- State
- New York
- Zip
- 11432
- Phone Number
- 718-658-5480
Provider Business Mailing Address Details
- Address
- 7207 Avalon Dr
Shelton, CT 06484-7618 - City
- Shelton
- State
- CT
- Zip
- 06484-7618
- Phone Number
- 917-576-8778
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 008617-1
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Jamaica, NY
View all Physician Assistants in Jamaica →Frequently Asked Questions
What is the NPI number of Mary S Desormes, PA?
The NPI number of Mary S Desormes, PA is 1063641009. It was assigned on July 13, 2009 and is currently active in the NPPES registry.
What is the specialty of Mary S Desormes, PA?
Mary S Desormes, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 008617-1.
Where does Mary S Desormes, PA practice?
The practice location is 82-68 164 Street, Queens Hospital Center, Jamaica, NY 11432. The office can be reached at 718-658-5480 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063641009 directly on the NPPES registry website.