NPI 1003083775

Peter Nicholas de Sanctis, MD

Practitioner Urology Physician Shelter Island, NY

Practice location

Address: 115 South Ferry Road, Shelter Island, NY 11964-1957
Phone: (631) 749-4154
Fax: (631) 749-3663
Mailing address: PO Box 1957, Shelter Island, NY 11964-1957

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 91459 (NY)

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Registry record

NPI: 1003083775
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2008
Record last updated: 13 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.