Individual
MARISA ELIZABETH DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3229 E GENESEE ST, JOSLIN CENTER, SYRACUSE, NY 13214-2016
(315) 464-5726
(315) 464-2500
Mailing address
3229 E GENESEE ST, JOSLIN CENTER, SYRACUSE, NY 13214-2016
(315) 464-5726
(315) 464-2500
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
261326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03304107
—
NY
Enumeration date
08/17/2007
Last updated
08/23/2013
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