Desposito, Michael

Desposito, Michael is an individual health care provider with primary practice located at 121 East Northport Road , Kings Park NY 11754-2513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Desposito, Michael can be contacted via phone (631) 269-1148.

Contact Information

Primary practice address
121 East Northport Road Kings Park NY 11754-2513
Phone: (631) 269-1148
Fax: (631) 269-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 172535 New York

Profile Details

NPI number 1508917287
LBN Legal business name Desposito, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1508917287 NPPES
New York MEDICAID 01207890

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