Santos, Marissa T.
Santos, Marissa T. is an sole proprietor health care provider with primary practice located at 9229 Queens Blvd Suite Cb, Rego Park NY 11374-1056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Santos, Marissa T. can be contacted via phone (718) 478-5600.Contact Information
Primary practice address
9229 Queens Blvd Suite Cb
Rego Park NY 11374-1056
Phone: (718) 478-5600
Fax: (718) 478-5335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 198043 | New York |
Profile Details
| NPI number | 1659332377 |
|---|---|
| LBN Legal business name | Santos, Marissa T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jun 22nd, 2022 - about 2 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 | 1659332377 | NPPES |
| New York | Other | 0403354 | UNITED HEALTHCARE HMO |
| New York | Other | 1531786 | UNITED HEALTHCARE HMO |
| New York | Other | 470858484 | UNITED HEALTHCARE HMO |
| New York | MEDICAID | 01833536 | UNITED HEALTHCARE HMO |
| New York | Other | 2592255 | UNITED HEALTHCARE HMO |
| New York | Other | 113380648SA01 | UNITED HEALTHCARE HMO |
| New York | Other | 198043 | UNITED HEALTHCARE HMO |
| New York | Other | 198043B27 | UNITED HEALTHCARE HMO |
| New York | Other | 41124 | UNITED HEALTHCARE HMO |
| New York | Other | 0166AF1 | UNITED HEALTHCARE HMO |
| New York | Other | 040426017706 | UNITED HEALTHCARE HMO |
| New York | Other | 1P1113 | UNITED HEALTHCARE HMO |
| New York | Other | 5816203 | UNITED HEALTHCARE HMO |
| New York | Other | 8433171 | UNITED HEALTHCARE HMO |
| New York | Other | SM8043 | UNITED HEALTHCARE HMO |
| New York | Other | 172917 | UNITED HEALTHCARE HMO |
| New York | Other | 11P8501 | UNITED HEALTHCARE HMO |
| New York | Other | P384086 | UNITED HEALTHCARE HMO |
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