Santilli, Mario D

Santilli, Mario D is an individual health care provider with primary practice located at 4949 Harlem Rd , Amherst NY 14226-2500. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Santilli, Mario D can be contacted via phone (716) 204-3250.

Contact Information

Primary practice address
4949 Harlem Rd Amherst NY 14226-2500
Fax: (716) 204-3269
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 139389 New York

Profile Details

NPI number 1194707034
LBN Legal business name Santilli, Mario D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Oct 15th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194707034 NPPES
New York Other RA9844 MEDICARE #

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