National Provider Identifier
Marisa Jeanne Desanto, DO
Marisa Jeanne Desanto, DO is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 756-4800.
Profile Overview
- NPI
- 1134709090
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 13, 2021
- Last Updated
- May 10, 2024
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 756-4800
Specialties
- Pediatrics Physician (208000000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1134709090
- Entity Type
- Individual
- Last Name
- Desanto
- First Name
- Marisa
- Middle Name
- Jeanne
- Credential
- DO
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 756-4800
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 756-4800
- Enumeration Date
- April 13, 2021
- Last Updated
- May 10, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Student in an Organized Health Care Education/Training Program (390200000X)