Individual
DR. FELIX JOSEPH DESIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2699
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
162019-1
NY
207RN0300X
Nephrology Physician
Primary
MD024192E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009657010001
—
PA
05
—
00853489
—
NY
01
—
390007793
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040072
MEDICARE GROUP
PA
Enumeration date
02/21/2006
Last updated
06/22/2011
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