DR. Mark Desantis, D.O.

NPI #1053424192 in Northport, New York

Provider Information

NPI Number: 1053424192
Entity Type: Individual
Name: DR. Mark Desantis, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiology - Body Imaging
Credential: D.O.
Enumeration Date: Aug 15, 2006
Last Updated: Apr 16, 2025

Practice Location

Address: 79 MIDDLEVILLE RD
City: Northport
State: New York
ZIP Code: 11768
Phone: (631) 261-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary
Nuclear Medicine	207U00000X

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