Individual provider · Type 1 NPI
Mark Desantis, DO
Body Imaging Physician · Northport, NY
NPI number
1053424192
Active
Practice location
79 Middleville Rd
Northport, NY 11768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | 25MB08021500 (NJ) |
| Nuclear Medicine Physician | 207U00000X | OS10292 (FL) |
| Diagnostic Radiology Physician | 2085R0202X | OS10292 (FL) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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Other body imaging physician providers in Northport
About NPI 1053424192
Mark Desantis, DO's National Provider Identifier is 1053424192, issued on Aug 15, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Northport, NY. The record was last updated on Jun 11, 2026.