Active NPIIndividual providerSole proprietor

Mr. Michael D Desarlo, MS SPECIAL ED

Specialist in Staten Island, New York

NPI Number1972865392
Practice location
175 Sandalwood Drive, Staten Island, NY 10308
Fax
—
Last updated
June 12, 2012

Michael D. Desarlo is a Specialist based in Staten Island, NY. Michael D. Desarlo practices in Staten Island, NY and has the professional credentials of MS SPECIAL ED. The NPI Number for Michael D. Desarlo is 1972865392 and holds a License No. 7902 (NY). The current practice location address for Michael D. Desarlo is 175 Sandalwood Drive, Staten Island, NY 10308 and can be reached out via phone at 718-227-5264.

Provider Profile Details

NPI Number
1972865392
Provider Name
Michael D. Desarlo
Credential
MS SPECIAL ED
Provider Entity Type
Individual
Gender
Male
Address
175 Sandalwood Drive, Staten Island, NY 10308
Phone Number
718-227-5264
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2012
Last Update Date
June 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Sandalwood Drive
Staten Island, NY 10308
Zip
10308
Phone Number
718-227-5264
Staten Island, NY 10308Get directions →

Provider Business Mailing Address Details

Address
175 Sandalwood Drive
Staten Island, NY 10308
City
Staten Island
State
NY
Zip
10308
Phone Number
718-227-5264

License Information

License Number
7902
License State
NY
Taxonomy
Specialist · 174400000X · Primary

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 Mr. Michael D Desarlo, MS SPECIAL ED?

The NPI number of Mr. Michael D Desarlo, MS SPECIAL ED is 1972865392. It was assigned on June 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael D Desarlo, MS SPECIAL ED?

Mr. Michael D Desarlo, MS SPECIAL ED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 7902.

Where does Mr. Michael D Desarlo, MS SPECIAL ED practice?

The practice location is 175 Sandalwood Drive, Staten Island, NY 10308. The office can be reached at 718-227-5264 (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 1972865392 directly on the NPPES registry website.

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