Individual
GITA DESIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
998 CROOKED HILL RD, W BRENTWOOD, NY 11717-1043
(631) 761-2182
Mailing address
5 HUNTING HILL DR, DIX HILLS, NY 11746-6568
(631) 761-2182
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
152299
NY
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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