Individual
MRS. ELIZABETH ANNE DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
180 SUNRISE HWY, WEST ISLIP, NY 11795-2012
(631) 893-0150
(631) 893-0146
Mailing address
180 SUNRISE HWY, WEST ISLIP, NY 11795-2012
(631) 893-0150
(631) 893-0146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330476-1
NY
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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