Dr Domenic Desantis, PSYD is a
Psychologist based in Patterson, New York. Dr Domenic Desantis is licensed to practice in New York (license number 012473-1) and his current practice location is
1283 Route 311, Patterson, New York. He can be reached at his office (for appointments etc.) via phone at
(914) 329-5106.
NPI number for Dr Domenic Desantis is 1346543360 and his current mailing address is Po Box 873, Croton Falls, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346543360.
Healthcare Provider's Profile
| Full Name | Dr Domenic Desantis |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1283 Route 311, Patterson, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346543360
- Provider Enumeration Date: 12/14/2010
- Last Update Date: 11/15/2012
Medical Identifiers
Medical identifiers for Dr Domenic Desantis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346543360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 012473-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Domenic Desantis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Domenic Desantis, PSYD
Po Box 873,
Croton Falls, NY 10519-0873
Ph: (914) 329-5106 | Dr Domenic Desantis, PSYD
1283 Route 311,
Patterson, NY 12563-2832
Ph: (914) 329-5106 |
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