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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
010079-01 | NY | Behavioral Health & Social Service Providers |
Street Address |
105 HAMILTON AVE |
City | STATEN ISLAND |
State | NY |
Zip Code | 10301-1610 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
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 |
Find all providers in zip 10301 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10301 |
Please comment or provide details below to improve the information on JOSE ANTONIO DESIDERIO.
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.