Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DESANTIS, D.O.
ActiveDR. MARK DESANTIS, D.O. is a Body Imaging healthcare provider located in NORTHPORT, New York. NPI 1053424192 is currently active in the NPPES registry. Verify at CMS.
Body Imaging · NORTHPORT, NY
Registration Details
- NPI Number
- 1053424192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (20.007518199551 yrs)
- Last Updated
- Apr 16, 2025
- Licenses
-
OS10292 (FL)25MB08021500 (NJ)OS10292 (FL)
Practice Information
- Address
-
79 MIDDLEVILLE RDNORTHPORT, NY, 11768Browse NY providers · Browse ZIP 11768
- Phone
- 6312614400
- Primary Specialty
-
Body Imaging
2085B0100X
- Additional Specialty
- Body Imaging
- Additional Specialty
- Nuclear Medicine
Other Body Imaging Providers in NORTHPORT, NY
| Name | Credential | NPI |
|---|---|---|
| DR. NANDITA WADHWA | M.D. | 1881783785 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.