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Contact Information

MIRANDA DESANCTIS, NP-C
333 HOOPER RD
ENDWELL, NY13760-3641
 Phone: 607-729-2777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MIRANDA DESANCTIS · (Female)

NPI Number 1568032852
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 06/29/2021
Last updated 09/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 348262
  • NY License # 677427-1
  • NY Other 348262 LICENSE
  • NY Other 677427-1 LICENSE
Hospital affiliation(s) Not Available
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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