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
Phone: (518) 458-2000
Fax: (518) 458-1524
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831197268 | NPPES |
New York | MEDICAID | 00767079 | |
New York | MEDICAID | 1003579 |
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