Janeen Desanges, PA-C

Individual provider Active NPI Physician Assistant · Purchase, NY

NPI 1508862913 · NPPES record last updated Nov 8, 2017

Key facts

NPI
1508862913
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
0048881 (NY)
Practice address
735 Anderson Hill Rd
Purchase, NY 10577-1402
Phone
(914) 251-6380
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0048881NYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0048881 NY Yes

Addresses

Primary practice location

735 Anderson Hill Rd
Purchase, NY 10577-1402

Mailing address

735 Anderson Hill Rd
Purchase, NY 10577-1402
Phone (914) 251-6380

Other providers in Purchase, NY

All providers in Purchase, NY · Physician Assistant in New York

Sources for this page

Verify at the official NPI Registry.