Individual
MELISSA M DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 MAPLE RD, MILLARD FILLMORE SUBURBAN HOSPITAL, WILLIAMSVILLE, NY 14221-3647
(716) 568-3600
Mailing address
1540 MAPLE RD, MILLARD FILLMORE SUBURBAN HOSPITAL, WILLIAMSVILLE, NY 14221-3647
(716) 568-3600
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036113230
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
284567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04445492
—
NY
Enumeration date
11/29/2005
Last updated
04/07/2017
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