Individual
ANTHONETTE ROSEMARIE DESIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 STATION CT, BUILDING A SUITE 1, BELLPORT, NY 11713-2453
(631) 803-8247
(631) 803-8251
Mailing address
1 STATION CT, BUILDING A SUITE 1, BELLPORT, NY 11713-2453
(631) 803-8247
(631) 803-8251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60243370
NY
Other
Enumeration date
03/12/2007
Last updated
08/22/2011
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