Individual provider · Type 1 NPI

Samir Derisavifard, MD

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Poughkeepsie, NY

NPI number 1477997690 Active

Practice location

50 Eastdale Ave N
Poughkeepsie, NY 12603-1694

Call (845) 437-5000 Map

Mailing address

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173

Specialties and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary 2088F0040X282292-01 (NY)
Urology Physician 208800000X282292-01 (NY)

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

22 other providers at this address

About NPI 1477997690

Samir Derisavifard, MD's National Provider Identifier is 1477997690, issued on Apr 18, 2013. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (2088F0040X), and the practice location is in Poughkeepsie, NY. The record was last updated on Sep 1, 2026.