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

Marie-Jeanne Desravines, MD

Individual provider Family Medicine Physician · NPI 1285741199

Marie-Jeanne Desravines, MD is a Family Practice in Fulton, New York. Graduated from State University of Ny Upstate Medical University in 1994, 32 years ago. Practices with Northern Oswego County Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2006
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

522 S 4th St Ste 500
Fulton, NY 13069-2946
Phone: (315) 598-4740
Fax: (315) 598-4719
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 221962 (NY)

Record details

NPI number1285741199
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1994 (32 years in practice)
Group practice Northern Oswego County Health Services, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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