Individual
DR. PETER NICHOLAS DE SANCTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 SOUTH FERRY ROAD, SHELTER ISLAND, NY 11964-1957
(631) 749-4154
(631) 749-3663
Mailing address
PO BOX 1957, SHELTER ISLAND, NY 11964-1957
(631) 749-4154
(631) 749-3663
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
91459
NY
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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