Individual
SATHEESH JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 E MAIN ST, SUITE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474
Mailing address
325 E MAIN ST, SUITE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
222332
NY
207RI0011X
Interventional Cardiology Physician
222332
NY
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
222332
NY
207UN0901X
Nuclear Cardiology Physician
222332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02780909
—
NY
01
—
729P11
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
07/27/2006
Last updated
07/27/2022
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