NPI

Desta Rowena Anthony

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
ANP
Type
Individual
Enumeration date
2006-07-31
Last updated
2025-11-28

Specialties

Licenses

License NY
F303332

Location

Practice location
8241 Penstock Way
City
Manlius NY
Postal code
13104-9401
Phone
(315) 559-1965

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Manlius, NY. 272 records in the public file.

Removal request

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