Individual
DR. MYLES RALPH DESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
71 KAROL PL, JERICHO, NY 11753-1306
(516) 433-9031
(516) 433-9079
Mailing address
71 KAROL PL, JERICHO, NY 11753-1306
(516) 433-9031
(516) 433-9079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD108968
NY
207RH0000X
Hematology (Internal Medicine) Physician
MD108968
NY
207RX0202X
Medical Oncology Physician
Primary
MD108968
NY
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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