Provider Demographics
NPI:1811493265
Name:DISASI, HUGUETTE MARIE-PATIENCE (DPM)
Entity type:Individual
Prefix:DR
First Name:HUGUETTE
Middle Name:MARIE-PATIENCE
Last Name:DISASI
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-672-1101
Mailing Address - Fax:570-672-1103
Practice Address - Street 1:436 W VALLEY AVE
Practice Address - Street 2:
Practice Address - City:ELYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17824-7247
Practice Address - Country:US
Practice Address - Phone:570-672-1101
Practice Address - Fax:570-672-1103
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFD5133688213E00000X
PASC007522213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist