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Damon J Deteso

  • Male

Medical Specialty

Professional ID

  • NPI: 1124018221
  • PECOS ID: 6406824192
  • Enrollment ID: I20040921000353
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of Massachusetts Medical School
  • Medical School Graduation Year: 1998

Hospital Service

  • Hospital CCN1: 330222
  • Business Name (LBN)1: Saratoga Hospital
  • Hospital CCN2: 330047
  • Business Name (LBN)2: St Marys Hospital At Amsterdam
  • Hospital CCN3: 330011
  • Business Name (LBN)3: Our Lady Of Lourdes Memorial Hospital, Inc
  • Hospital CCN4: 330276
  • Business Name (LBN)4: Nathan Littauer Hospital
  • Hospital CCN5: 330153
  • Business Name (LBN)5: Ellis Hospital

Medical Practices

  • Organization Name: Millennium Medical Imaging Pc
  • Group Practice ID assigned by PECOS: 5799776910
  • Number of Group Practice member: 20

Location

  • Address1: 10 Healthy Way
  • Address2:
  • City: Ellenville
  • State: New York
  • Zip Code: 12428
  • Phone Number: (845)647-6400

Location

  • Address1: 169 Riverside Dr
  • Address2:
  • City: Binghamton
  • State: New York
  • Zip Code: 13905
  • Phone Number: (607)798-5111

Location

  • Address1: 427 Guy Park Ave
  • Address2:
  • City: Amsterdam
  • State: New York
  • Zip Code: 12010
  • Phone Number: (518)841-7203

Location

  • Address1: 6400 Collamer Rd
  • Address2:
  • City: East Syracuse
  • State: New York
  • Zip Code: 13057
  • Phone Number: (800)533-9729

Location

  • Address1: 7 Herbert Dr
  • Address2:
  • City: Latham
  • State: New York
  • Zip Code: 12110
  • Phone Number: (518)785-3511

Location

  • Address1: 99 E State St
  • Address2:
  • City: Gloversville
  • State: New York
  • Zip Code: 12078
  • Phone Number: (518)773-5522

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):