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Individual

MAYKEL DESIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
82 LAMBERTS LN, STATEN ISLAND, NY 10314-7210
(718) 477-5479
Mailing address
1801 NW 9TH AVE STE 470, MIAMI, FL 33136-1124

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
300662
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/07/2015
Last updated
01/13/2020
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