Desimone, Marisa Elizabeth
Desimone, Marisa Elizabeth is an individual health care provider with primary practice located at 3229 E Genesee St Joslin Center, Syracuse NY 13214-2016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Desimone, Marisa Elizabeth can be contacted via phone (315) 464-5726.Contact Information
Primary practice address
3229 E Genesee St Joslin Center
Syracuse NY 13214-2016
Phone: (315) 464-5726
Fax: (315) 464-2500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 261326 | New York |
Profile Details
| NPI number | 1083806624 |
|---|---|
| LBN Legal business name | Desimone, Marisa Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Aug 23rd, 2013 - about 11 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 | 1083806624 | NPPES |
| New York | MEDICAID | 03304107 |
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