Desantis, Melissa M

Desantis, Melissa M is an sole proprietor health care provider with primary practice located at 1540 Maple Rd Millard Fillmore Suburban Hospital, Williamsville NY 14221-3647. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Desantis, Melissa M can be contacted via phone (716) 568-3600.

Contact Information

Primary practice address
1540 Maple Rd Millard Fillmore Suburban Hospital Williamsville NY 14221-3647
Phone: (716) 568-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036113230 Illinois
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 284567 New York

Profile Details

NPI number 1891778338
LBN Legal business name Desantis, Melissa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Apr 7th, 2017 - about 9 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 1891778338 NPPES
New York MEDICAID 04445492

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