Santos, Elisa M.

Santos, Elisa M. is an individual health care provider with primary practice located at 325 Meeting House Ln Bldg #2 Suite 403, Southampton NY 11968-5087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Santos, Elisa M. can be contacted via phone (631) 283-2100.

Contact Information

Primary practice address
325 Meeting House Ln Bldg #2 Suite 403 Southampton NY 11968-5087
Phone: (631) 283-2100
Fax: (631) 283-5731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 243020-1 New York

Profile Details

NPI number 1538283148
LBN Legal business name Santos, Elisa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 11th, 2017 - about 7 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 1538283148 NPPES
New York MEDICAID 02873430

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