| Doctor Name: | SALVATORE DESENA |
| NPI Number: | 1033190384 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 1946191 |
| Business Practice Address: | 65 Columbus Ave Staten Island, NY - 103044325 |
| Business Phone Number: | 7188167007 |
| Business Fax Number: | 7188169288 |
| Mailing Address: | 1099 Targee St, Healthcare Associates In Medicine STATEN ISLAND |
| State: | NY |
| Postal Code: | 103044310 |
| Phone Number: | 7184483210 |
| Fax Number: | 7184429085 |
| NPI Enumeration Date: | 11/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 1946191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |