Desanctis, Miranda

Desanctis, Miranda is an individual health care provider with primary practice located at 333 Hooper Rd , Endwell NY 13760-3641. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Desanctis, Miranda can be contacted via phone (607) 729-2777.

Contact Information

Primary practice address
333 Hooper Rd Endwell NY 13760-3641
Phone: (607) 729-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 677427-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348262 New York

Profile Details

NPI number 1568032852
LBN Legal business name Desanctis, Miranda
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2021
Last updated Sep 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568032852 NPPES
New York Other 348262 LICENSE
New York Other 677427-1 LICENSE

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