MR. MICHAEL D. DESARLO


Address: 175 Sandalwood Drive, Staten Island, NY 10308
Phone: 7182275264

MR. MICHAEL D. DESARLO (NPI# 1972865392) 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) 1972865392
Entity Type Individual
Full Name MR. MICHAEL D. DESARLO
Credential MS SPECIAL ED.
Practice Address 175 Sandalwood Drive
Staten Island
NY 10308
Practice Telephone 7182275264
Mailing Telephone 7182275264
Enumeration Date 2012-06-12
Last Update Date 2012-06-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 7902 NY Other Service Providers

Office Location

Street Address 175 SANDALWOOD DRIVE
City STATEN ISLAND
State NY
Zip Code 10308

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609410117 Young Minds Early Enrichment Early Intervention Provider Agency 143 Wiman Avenue, Staten Island, NY 10308 2019-10-29
1346619483 Babymedevac, Inc. Ambulance 150 L Greaves Lane, Suite 142, Staten Island, NY 10308 2015-09-18
1497179527 Advanced Life Care Planning LLC Home Health 255 Katan Ave., Score Rehab, Staten Island, NY 10308 2014-02-10
1255777009 Laura Marie De La Cruz Specialist 132 Sandalwood Dr, Staten Island, NY 10308 2013-05-21
1205179363 Danielle Gorga Registered Nurse 68 Harbour Court, Staten Island, NY 10308 2013-03-27
1427307388 Maria Madelyn Sylvester Specialist 4024 Amboy Road, Staten Island, NY 10308 2012-09-06
1679836241 Concetta Maria Falzone Specialist 51 Margaret Street, Staten Island, NY 10308 2012-06-19
1881991867 Markella Zannikos Speech-Language Pathologist 423 Corbin Avenue, Staten Island, NY 10308 2011-02-28
1013227800 Therapy Link PC Community/Behavioral Health 3936 Amboy Road, Staten Island, NY 10308 2010-10-14
1205167665 Jennifer Suzanna Dicaro Occupational Therapist 96 Woodland Avenue, Staten Island, NY 10308 2010-01-26
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891395463 Mk Star Inc Specialist 104 Linwood Ave, Staten Island, NY 10305-4400 2020-10-31
1699374587 Wendy Delores Cruz Specialist 35 Tanglewood Dr, Staten Island, NY 10308-1853 2020-10-21
1972101517 Gina Sinchi Specialist 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 2020-10-15
1558968354 Danamarie Bolusi Specialist 134 Butler Ave, Staten Island, NY 10307-1207 2020-10-05
1164033320 Andrea Balsamo Specialist 170 Overlook Ave, Staten Island, NY 10304-3006 2020-08-12
1699386912 Anastasia Chernysheva Specialist 552b Greeley Ave, Staten Island, NY 10306-5808 2020-08-11
1750909842 Diane Marie Trimarchi Specialist 139 Cedar Grove Ct, Staten Island, NY 10306-5703 2020-07-06
1225653264 Taly Liberman Specialist 467 Saint Marks Pl, Staten Island, NY 10301-2408 2020-06-16
1477174431 Danielle Bennett Specialist 35 Bryan St, Staten Island, NY 10307-1503 2020-04-30
1275164626 Lauren Angela Lobasso Specialist 22 Brandis Ln, Staten Island, NY 10312-2070 2020-02-03
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Competitor

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City STATEN ISLAND
Zip Code 10308

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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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