Individual
VINAY DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 BARD AVE, EMERGENCY DEPT, STATEN ISLAND, NY 10310-1664
(718) 818-2055
(212) 356-4608
Mailing address
355 BARD AVE, EMERGENCY DEPT, STATEN ISLAND, NY 10310-1664
(718) 818-2055
(212) 356-4608
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
212410
NY
207P00000X
Emergency Medicine Physician
Primary
25MA06838800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902258
—
NY
05
—
9022053
—
NJ
Enumeration date
06/30/2006
Last updated
06/09/2023
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