JOSE ANTONIO DESIDERIO


Address: 105 Hamilton Ave, Staten Island, NY 10301-1610
Phone: 6463307851

JOSE ANTONIO DESIDERIO (NPI# 1477050334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477050334
Entity Type Individual
Full Name JOSE ANTONIO DESIDERIO
Credential LMHC
Practice Address 105 Hamilton Ave
Staten Island
NY 10301-1610
Mailing Address 34 Coral Ct
Staten Island
NY 10308-3534
Practice Telephone 6463307851
Mailing Telephone 6463307851
Enumeration Date 2018-04-09
Last Update Date 2019-12-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
010079-01 NY Behavioral Health & Social Service Providers

Office Location

Street Address 105 HAMILTON AVE
City STATEN ISLAND
State NY
Zip Code 10301-1610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326334848 Maria Linda Diaz Nurse Practitioner 105 Hamilton Ave, Staten Island, NY 10301-1610 2011-06-22
1518386044 Tiffany Watson Counselor 105 Hamilton Ave, Staten Island, NY 10301-1610 2014-04-11
1164797718 Deborah White Registered Nurse 105 Hamilton Ave, Room 143, Staten Island, NY 10301-1610 2012-03-15
1629343454 Jean Ellen Vasconi Registered Nurse 105 Hamilton Ave, Medical Room, Staten Island, NY 10301-1610 2012-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1659835569 Ipark Podiatry P.C. Podiatrist 970 Bard Avenue, Staten Island, NY 10301 2019-01-24
1386149789 Dana Gioia Specialist 215 Hart Blvd Apt 5a, Staten Island, NY 10301 2018-03-27
1710404850 Physical Therapy Unlimited Preferred Provider Organization 684 Ocean Terrace, Staten Island, NY 10301 2017-08-29
1356885438 Jessica Glassman Social Worker 10 Dobbs Pl, Staten Island, NY 10301 2016-12-08
1679016372 Amelia Rella Speech-Language Pathologist 60 Foote Ave, Staten Island, NY 10301 2016-11-29
1457714958 Philip Kaplan Dentist 155 Bay Street, Unit C3, Staten Island, NY 10301 2016-04-01
1104284777 Marie G Joseph Social Worker 2381 Hyland Blvd, Staten Island, NY 10301 2016-02-10
1700262565 Courtney Pryor Speech-Language Pathologist 57 Westbury Avenue, Staten Island, NY 10301 2015-08-04
1710377999 Jessica Maldarelli Speech-Language Pathologist 91 Henderson Avenue, Staten Island, NY 10301 2015-01-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799675 Matthew Marchisello Counselor 201 Forest Avenue, Staten Island, NY 10301-2763 2020-10-30
1932708682 My Quiet Place, Mental Health Counseling P.C. Counselor 115 Graham Blvd Apt A, Staten Island, NY 10305-4005 2020-10-23
1043817067 Jessica Megan Flores Counselor 218 Union Ave, Staten Island, NY 10303-2442 2020-10-02
1780291070 Alexandria Savastano Counselor 87 Tioga St, Staten Island, NY 10301-4209 2020-09-30
1326652322 Chloe Jeannette Hansen-augello Counselor 194 Robinson Ave, Staten Island, NY 10312-6216 2020-09-07
1497369722 Jennifer Laura Lerner Counselor 2a Kathy Pl, Staten Island, NY 10314-5912 2020-09-03
1134737372 Nancy Burns Counselor 345 Guyon Ave # 14, Staten Island, NY 10306 2020-07-14
1578188447 Christina Marie Carbone Counselor 177 Sprague Ave, Staten Island, NY 10307-1959 2020-06-16
1689298044 Michelle Renee Perlongo Counselor 12 Jefferson Blvd Ste 2, Staten Island, NY 10312-3330 2020-06-02
1215550033 Kay Nuzzo Counselor 198 Davis Ave, Staten Island, NY 10310-1652 2020-05-27
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Competitor

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City STATEN ISLAND
Zip Code 10301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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