Individual
DR. MARK DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
OS10292
FL
2085B0100X
Body Imaging Physician
Primary
25MB08021500
NJ
2085R0202X
Diagnostic Radiology Physician
OS10292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126125400
—
FL
Enumeration date
08/15/2006
Last updated
04/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us