Individual provider · Type 1 NPI
Tejal Desai, DO
Addiction Medicine (Family Medicine) Physician · Staten Island, NY
NPI number
1629605167
Active
Practice location
450 Seaview Ave Fl 1
Staten Island, NY 10305-3401
Mailing address
1 Lysbeth Ln
Matawan, NJ 07747-7004
Other practice locations
- 475 Seaview Ave, Staten Island, NY 10305-3436 · (718) 226-2752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 325987 (NY) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1629605167
Tejal Desai, DO's National Provider Identifier is 1629605167, issued on Mar 25, 2020. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Staten Island, NY. The record was last updated on Feb 26, 2025.