Desantis, Jonathan Michael

Desantis, Jonathan Michael is an individual health care provider with primary practice located at 2 Palisades Dr , Albany NY 12205-1438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Desantis, Jonathan Michael can be contacted via phone (518) 458-2000.

Contact Information

Primary practice address
2 Palisades Dr Albany NY 12205-1438
Fax: (518) 458-1524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 139136 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 139136 New York

Profile Details

NPI number 1831197268
LBN Legal business name Desantis, Jonathan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2005
Last updated May 11th, 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 1831197268 NPPES
New York MEDICAID 00767079
New York MEDICAID 1003579

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