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Contact Information

ANTHONETTE R DESIRE, MD
1 STATION CT
BUILDING A SUITE 1
BELLPORT, NY11713-2453
 Phone: 631-803-8247
 Fax: 631-803-8251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANTHONETTE R DESIRE · (Female)

NPI # 1548392590
Status Active
Credentials MD
Entity Individual
Enumeration date 03/12/2007
Last updated 08/22/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 60243370
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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