Individual
KENNETH DESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 HENRY ST, BEACON, NY 12508-3058
(845) 831-0400
(845) 831-0793
Mailing address
1037 MAIN ST, PEEKSKILL, NY 10566-2913
(914) 734-8800
(914) 734-8745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
247544
NY
207Q00000X
Family Medicine Physician
X001263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02250580
—
NY
Enumeration date
06/16/2006
Last updated
07/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us