Individual
JO C DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 VANDERBILT AVE, CONTINUING DAY TREATMENT, STATEN ISLAND, NY 10304-2604
(718) 181-5385
Mailing address
75 VANDERBILT AVE, STATEN ISLAND, NY 10304-2604
(718) 818-5385
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
181242
NY
Other
Enumeration date
10/04/2006
Last updated
06/04/2012
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