Individual provider · Type 1 NPI

Madison Desantis, DO

Student in an Organized Health Care Education/Training Program · Binghamton, NY

NPI number 1124912043 Active

Practice location

33 Mitchell Ave
Binghamton, NY 13903-1642

Call (607) 762-3281 Map

Fax (607) 762-3295

Mailing address

33-57 Harrison St
Johnson City, NY 13790-2174

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124912043

Madison Desantis, DO's National Provider Identifier is 1124912043, issued on Jun 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Binghamton, NY. The record was last updated on Jun 5, 2025.