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Individual

DR. ANTHONY S DESANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8416 JAMAICA AVE, WOODHAVEN, NY 11421-1920
(718) 296-6900
(718) 296-0737
Mailing address
8416 JAMAICA AVE, WOODHAVEN, NY 11421-1920
(718) 296-6900
(718) 296-0737

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006997
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5802282
GHI
NY
01
P2100896
OXFORD
NY
Enumeration date
10/18/2005
Last updated
02/21/2013
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