Individual
AMRUTA G. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH, MBA
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2975
(631) 444-2907
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2975
(631) 444-2907
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
30728801
NY
Other
Enumeration date
05/04/2015
Last updated
12/21/2020
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