DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICHARD J. DESAUTEL, NP

Active

MR. RICHARD J. DESAUTEL, NP is a Gerontological Nurse Practitioner healthcare provider located in STUYVESANT, New York. NPI 1811194558 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · STUYVESANT, NY

Registration Details

NPI Number
1811194558
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2007 (19.149703656913 yrs)
Last Updated
Dec 20, 2018
Licenses
004966 (CT)
AP081740 (ME)
CNP01488 (NM)
049762-23 (NH)
153541 (MA)

Practice Information

Address
88 COUNTY ROUTE 26A
STUYVESANT, NY, 121732410
Browse NY providers · Browse ZIP 12173
Phone
4134295139
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
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.