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

Individual provider Psychiatry Physician · NPI 1174507594

Dr. Maryanne Desantis, MD is a Psychiatry Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 Seguine Ave
Staten Island, NY 10309-3932
Phone: (718) 226-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 190585 (NY)
Forensic Psychiatry Physician Taxonomy 2084F0202X · Licence 190585 (NY)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 190585 (NY)

Record details

NPI number1174507594
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESAugust 1, 2008

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