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Jack De Santis

  • Male

Medical Specialty

Professional ID

  • NPI: 1245398197
  • PECOS ID: 6901851393
  • Enrollment ID: I20050318000258
  • Credential(MD, DO, DPM): CSW
  • Medical School:
  • Medical School Graduation Year: 1967

Location

  • Address1: 368 Veterans Memorial Hwy 1
  • Address2:
  • City: Commack
  • State: New York
  • Zip Code: 11725
  • Phone Number: (631)543-8779

Medicare

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