Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N003402 | NY |
N | 222Z00000X | Podiatrist | N003402 | NY |
Y | 213EP1101X | Primary Podiatric Medicine | N003402 | NY |
N | 111NR0200X | Radiology | N003402 | NY |
N | 213ER0200X | Radiology | N003402 | NY |
N | 2081S0010X | Sports Medicine | N003402 | NY |
N | 213ES0000X | Sports Medicine | N003402 | NY |
N | 213ES0131X | Foot Surgery | N003402 | NY |
NPI | 1093716524 |
---|---|
Provider Name | Dr. Frank Paul Desio |
First Address | South Setauket, NY 11720-1163 |
Second Address | South Setauket, NY 11720-1163 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 19/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0088656 | GHI (01) | NY |
1817 | VYTRA (01) | NY |
945353 | PHYSICIANS HEALTH SERVICE (01) | NY |
AJ45631 | MDNY (01) | NY |
CS771 | OXFORD (01) | NY |
P37071 | EMPIRE BCBS (01) | NY |
T51120 | (02) | NY |