Kimberly M Desantis in Endwell - Family Medicine
Kimberly M Desantis - NPI 1376578724
Kimberly M Desantis is a Family Medicine in Endwell, New York. Kimberly M Desantis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kimberly M Desantis is 1376578724. The last update date is 2007-07-08.
Kimberly M Desantis's current location address is 415 Hooper Rd, Endwell, New York. You can contact this provider via phone number 6077543863 and fax number 6077545697. The mailing address for Kimberly M Desantis is 415 Hooper Rd, Endwell, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly M Desantis |
|---|---|
| Address | 415 Hooper Rd, Endwell, New York |
| Phone Number | 6077543863 |
| Fax Number | 6077545697 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376578724 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 415 Hooper Rd |
|---|---|
| City | Endwell |
| State | New York (NY) |
| Post Code | 137603646 |
| Phone Number | 6077543863 |
| Fax Number | 6077545697 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 211449 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10074276 | CDPHP | ||
| 7455028 | AETNA HMO | ||
| 1943728 | NY | -- | |
| 5997006 | GHI | ||
| 699965 | MVP | ||
| 71561388 | CHAMPUS | ||
| 153925 | EMPIRE BS | ||
| 153925 | EXCELLUS | ||
| 699965 | MVP SELECT | ||
| 153925 | BS CNY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kimberly M Desantis by the Centers for Medicare & Medicaid Services?
The Kimberly M Desantis has been issued the NPI (National Provider Identifier) 1376578724, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kimberly M Desantis?
The Kimberly M Desantis is situated at 415 Hooper Rd, in the city of Endwell, state of NY, with the zip code 137603646.
What is the Kimberly M Desantis's specialty and taxonomy code?
The Kimberly M Desantis's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Kimberly M Desantis receive its 1376578724?
The Kimberly M Desantis was issued its 1376578724 on 2006-07-12, which is the date when the organization was assigned this unique identifier.
When was the Kimberly M Desantis's information last updated?
The Kimberly M Desantis's information was last updated on 2007-07-08.