Active NPIIndividual provider

Dr. Maryanne Desantis, MD

Psychiatry & Neurology, Psychiatry in Staten Island, New York

NPI Number1174507594
Practice location
375 Seguine Ave, Staten Island, NY 10309-3932
Fax
—
Last updated
August 1, 2008

Maryanne Desantis is a Psychiatry & Neurology, Psychiatry based in Staten Island, NY. Maryanne Desantis practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Maryanne Desantis is 1174507594 and holds a License No. 190585 (NY). The current practice location address for Maryanne Desantis is 375 Seguine Ave, Staten Island, NY 10309-3932 and can be reached out via phone at 718-226-2440.

Provider Profile Details

NPI Number
1174507594
Provider Name
Maryanne Desantis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
375 Seguine Ave, Staten Island, NY 10309-3932
Phone Number
718-226-2440
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2005
Last Update Date
August 1, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Seguine Ave
Staten Island, NY 10309-3932
Zip
10309-3932
Phone Number
718-226-2440
Staten Island, NY 10309Get directions →

Provider Business Mailing Address Details

Address
1 Edgewater St
6TH Fl. Payer Relation
Staten Island, NY 10305-4900
City
Staten Island
State
NY
Zip
10305-4900
Phone Number
718-226-1008
Fax Number
718-226-1039

License Information

License Number (1)
190585
License State (1)
NY
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
License Number (2)
190585
License State (2)
NY
License Number (3)
190585
License State (3)
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Maryanne Desantis, MD?

The NPI number of Dr. Maryanne Desantis, MD is 1174507594. It was assigned on November 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Maryanne Desantis, MD?

Dr. Maryanne Desantis, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 190585.

Where does Dr. Maryanne Desantis, MD practice?

The practice location is 375 Seguine Ave, Staten Island, NY 10309-3932. The office can be reached at 718-226-2440 (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 1174507594 directly on the NPPES registry website.

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