Individual
AMISHI DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 751-3000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
283677
NY
Other
Enumeration date
12/02/2012
Last updated
12/02/2019
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