SearchNew York225100000X

Jason Intermesoli

NPI 1912736190 · on the registry since 2024

Practice

Address
322 W Main St
Patchogue, NY 11772
Phone
(631) 228-4977
Clinicians at this address
6

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2251X0800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-28

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