Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desta Anthony Mobile NP Adult Health, PLLC

Organization Adult Health Nurse Practitioner · NPI 1679188494

Desta Anthony Mobile NP Adult Health, PLLC is an Adult Health Nurse Practitioner in Manlius, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8241 Penstock Way
Manlius, NY 13104-9401
Phone: (315) 413-3848
Fax: (315) 692-4292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1679188494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desta Anthony — Owner · (315) 559-1965
NPI enumeratedSeptember 9, 2020
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing address8241 Penstock Way, Manlius, NY 13104-9401

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