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Mark Desantis, D.O. — NPI 1053424192, Northport, NY | NPI Central

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Mark Desantis, D.O.

NPI 1053424192 · Body Imaging Physician · Northport, NY

Provider details

NPI number: 1053424192
Entity type: Individual
Primary specialty: Body Imaging PhysicianAllopathic & Osteopathic Physicians
Credential: D.O.
Sex: Male
Sole proprietor: No
License: OS10292 (FL)

Specialties & taxonomies

Body Imaging PhysicianPrimary2085B0100XLicense 25MB08021500 (NJ)
Allopathic & Osteopathic Physicians
Diagnostic Radiology Physician2085R0202XLicense OS10292 (FL)
Allopathic & Osteopathic Physicians
Nuclear Medicine Physician207U00000XLicense OS10292 (FL)
Allopathic & Osteopathic Physicians

Practice location

79 Middleville Rd

Northport, NY 11768

Phone: (631) 261-4400

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

79 Middleville Rd

Northport, NY 11768-2200

Additional practice locations (1)

3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214
Phone: (813) 875-3950
Fax: (813) 872-2741

Registry dates

Enumerated: 2006-08-15
Last updated: 2025-04-16
Certified: 2025-04-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.