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MARISSA T SANTOS MD PC NPI 1225153356


NPI Information

NPI: 1225153356
Provider Name: MARISSA T SANTOS, MD PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
6911 ROOSEVELT AVE # B
WOODSIDE, NY
ZIP 11377
Phone: (718) 478-5600
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MARISSA T SANTOS, MD PC is an internal medicine in Woodside, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MARISSA T SANTOS, MD PC NPI is 1225153356. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6911 ROOSEVELT AVE # B
WOODSIDE, NY
ZIP 11377-933
Phone: (718) 478-5600

The provider's authorized official is Marissa T Santos .
The authorized official title is Owner and has the following contact phone number (212) 255-2333.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 6/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine198043NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113380648SA01OTHERNEW YORKCARE PLUS
2040426017706OTHERNEW YORKFIDELIS
3172917OTHERNEW YORKELDERPLAN
484798OTHERNEW YORKGHI HMO
5100153178601OTHERNEW YORKUHC (HMO)
611P8501OTHERNEW YORKNY PRESBYTERIAN
707079MEDICARE PINNEW YORK
8166AF1OTHERNEW YORKEMPIRE BCBS
92592255OTHERNEW YORKGHI
10P384086OTHERNEW YORKOXFORD
11SM8043OTHERNEW YORKAFFINITY
12198043OTHERNEW YORKHIP
135816203OTHERNEW YORKAETNA (HMO)
1407079GOTHERGHI-MEDICARE
15158042OTHERNEW YORKVYTRA
161P1113OTHERNEW YORKHEALTHNET
178433171OTHERNEW YORKCIGNA
1807079GMEDICARE PINNEW YORK
1907079AMEDICARE PIN
201531786OTHERNEW YORKUHC
21198043B27OTHERNEW YORKHEALTH FIRST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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