Dr DAMON J DETESO MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1998 from University Of Massachusetts Medical School.
MILLENNIUM MEDICAL IMAGING PC
427 GUY PARK AVE
AMSTERDAM
NY
120101054
Tel: 5188417203
| Npi | 1124018221 |
| Pac Id | 6406824192 |
| Professional Enrollment Id | I20040921000353 |
| Last Name | DETESO |
| First Name | DAMON |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MILLENNIUM MEDICAL IMAGING PC |
| Group Practice Pac Id | 5799776910 |
| Number Of Group Practice Members | 23 |
| Line 1 Street Address | 427 GUY PARK AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 120101054 |
| Phone Number | 5188417203 |
| Hospital Affiliation Ccn 1 | 330222 |
| Hospital Affiliation Lbn 1 | SARATOGA HOSPITAL |
| Hospital Affiliation Ccn 2 | 330011 |
| Hospital Affiliation Lbn 2 | LOURDES HOSPITAL |
| Hospital Affiliation Ccn 3 | 330047 |
| Hospital Affiliation Lbn 3 | ST MARY'S HEALTHCARE |
| Hospital Affiliation Ccn 4 | 330079 |
| Hospital Affiliation Lbn 4 | ADIRONDACK MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 330276 |
| Hospital Affiliation Lbn 5 | NATHAN LITTAUER HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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