Santana, Ida Louise
Santana, Ida Louise is an sole proprietor health care provider with primary practice located at 584 Broadway Suite 510, New York NY 10012-3229. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Santana, Ida Louise can be contacted via phone (202) 827-6646.Contact Information
Primary practice address
584 Broadway Suite 510
New York NY 10012-3229
Phone: (202) 827-6646
Fax: (202) 827-6646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 231523 | New York |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 231523 | New York |
Profile Details
| NPI number | 1942483003 |
|---|---|
| LBN Legal business name | Santana, Ida Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Jul 31st, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942483003 | NPPES |
| New York | Other | 231523-1 | NY MEDICAL LICENSE |
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