MEDICARE: DR. FRANK PAUL DESIO DPM

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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	N003402	NY
2	213ES0000X	Sports Medicine Podiatrist	N003402	NY
3	213ES0131X	Foot Surgery Podiatrist	N003402	NY
4	213E00000X	Podiatrist	N003402	NY
5	213ER0200X	Radiology Podiatrist	N003402	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	945353	OTHER	NY	PHYSICIANS HEALTH SERVICE
2	AJ45631	OTHER	NY	MDNY
3	0088656	OTHER	NY	GHI
4	CS771	OTHER	NY	OXFORD
5	P37071	OTHER	NY	EMPIRE BCBS
6	1817	OTHER	NY	VYTRA

General Provider Information

NPI Number	:	1093716524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK PAUL DESIO DPM

Provider Business Mailing Address
First Line	:	3771 NESCONSET HWY
Second Line	:	SUITE 106
City	:	SOUTH SETAUKET
State	:	NY
Zip	:	11720-1163
Country	:	US
Telephone Number	:	631-689-6760
Fax Number	:	631-689-6765

Provider Business Practice Location Address
First Line	:	3771 NESCONSET HWY
Second Line	:	SUITE 106
City	:	SOUTH SETAUKET
State	:	NY
Zip	:	11720-1163
Country	:	US
Telephone Number	:	631-689-6760
Fax Number	:	631-689-6765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/19/2010

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