DR. Nathanael Desire, D.O.

NPI #1922118652 in Bellport, New York

Provider Information

NPI Number
1922118652
Entity Type
Individual
Name
DR. Nathanael Desire, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
D.O.
Enumeration Date
Aug 30, 2006
Last Updated
Jul 23, 2013

Practice Location

Address
1 STATION CT
Address 2
BLDG A SUITE 1
ZIP Code
11713-2453
Phone
(631) 803-8247

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics

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