SearchNew York363LA2200X

Desta Anthony, ANP

NPI 1093721102 · on the registry since 2006 · sole proprietor

Practice

Address
8241 Penstock Way
Manlius, NY 13104
Phone
(315) 559-1965
Fax
(833) 606-0692
Organisation at this address
Desta Anthony Mobile Np Adult Health, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York