Provider Demographics
NPI:1093716524
Name:DESIO, FRANK PAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:DESIO
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:3771 NESCONSET HWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SOUTH SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11720-1163
Mailing Address - Country:US
Mailing Address - Phone:631-689-6760
Mailing Address - Fax:631-689-6765
Practice Address - Street 1:3771 NESCONSET HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720-1163
Practice Address - Country:US
Practice Address - Phone:631-689-6760
Practice Address - Fax:631-689-6765
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2010-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYN003402213EP1101X, 213ES0000X, 213ES0131X, 213E00000X, 213ER0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY945353OtherPHYSICIANS HEALTH SERVICE
NYAJ45631OtherMDNY
NY0088656OtherGHI
NYCS771OtherOXFORD
NYP37071OtherEMPIRE BCBS
NY1817OtherVYTRA
NY0088656OtherGHI
NYP37071OtherEMPIRE BCBS