Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHANAEL DESIRE, D.O.
Active Sole ProprietorDR. NATHANAEL DESIRE, D.O. is a Internal Medicine healthcare provider located in BELLPORT, New York. NPI 1922118652 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BELLPORT, NY
Registration Details
- NPI Number
- 1922118652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.775073555468 yrs)
- Last Updated
- Jul 23, 2013
- Licenses
-
216602 (NY)216602 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 STATION CTBLDG A SUITE 1BELLPORT, NY, 117132453Browse NY providers · Browse ZIP 11713
- Phone
- 6318038247
- Fax
- 6318038251
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Pediatrics
Other Internal Medicine Providers in BELLPORT, NY
| Name | Credential | NPI |
|---|---|---|
| ANTHONETTE ROSEMARIE DESIRE | M.D. | 1548392590 |
| NGU WAR SAN | MD | 1245980580 |
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.