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Nathanael Desire, D.O

NPI 1922118652 · on the registry since 2006 · sole proprietor

Practice

Address
1 Station Ct
Bldg A Suite 1
Bellport, NY 11713
Phone
(631) 803-8247
Fax
(631) 803-8251
Clinicians at this address
2

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208000000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York