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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1083806624 NPPES
New York MEDICAID 03304107

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