Provider Demographics
NPI:1306172028
Name:PRESTO, JOSEPH G JR (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:G
Last Name:PRESTO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W 106TH ST APT 2H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3619
Mailing Address - Country:US
Mailing Address - Phone:212-865-9168
Mailing Address - Fax:212-865-9168
Practice Address - Street 1:225 W 106TH ST APT 2H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3619
Practice Address - Country:US
Practice Address - Phone:212-865-9168
Practice Address - Fax:212-865-9168
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY183662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine