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Organization
MARISSA T SANTOS, MD PC
Active
Organization
MARISSA T SANTOS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA T SANTOS MD (OWNER)
(212) 255-2333
Entity
Organization
Contact information
Practice address
6911 ROOSEVELT AVE # B, WOODSIDE, NY 11377-2933
(718) 478-5600
Mailing address
6911 ROOSEVELT AVE # B, WOODSIDE, NY 11377-2933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
198043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040426017706
FIDELIS
NY
01
—
07079G
GHI-MEDICARE
—
01
—
100153178601
UHC (HMO)
NY
01
—
113380648SA01
CARE PLUS
NY
01
—
11P8501
NY PRESBYTERIAN
NY
01
—
1531786
UHC
NY
01
—
158042
VYTRA
NY
01
—
166AF1
EMPIRE BCBS
NY
01
—
172917
ELDERPLAN
NY
01
—
198043
HIP
NY
01
—
198043B27
HEALTH FIRST
NY
01
—
1P1113
HEALTHNET
NY
01
—
2592255
GHI
NY
01
—
5816203
AETNA (HMO)
NY
01
—
8433171
CIGNA
NY
01
—
84798
GHI HMO
NY
01
—
P384086
OXFORD
NY
01
—
SM8043
AFFINITY
NY
Enumeration date
03/20/2007
Last updated
06/30/2008
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