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NPI Code Detail

MEDICARE: DR. ROBERT A DESIMONE M.D.

MEDICARE:  DR. ROBERT A DESIMONE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZC0006XClinical Pathology Physician279687NY
2207ZB0001XBlood Banking & Transfusion Medicine Physician279687NY

General Provider Information

NPI Number : 1083956460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT A DESIMONE M.D.
Provider Business Mailing Address
First Line : 1300 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4805
Country : US
Telephone Number : 212-746-2832
Fax Number :
Provider Business Practice Location Address
First Line : 1300 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065
Country : US
Telephone Number : 212-746-7365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2013
Last Update Date : 07/07/2023

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Directions to “ DR. ROBERT A DESIMONE M.D.” Practice Location

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