Individual
VANESSA SOETANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1197
(718) 918-5000
Mailing address
1400 PELHAM PKWY S STE 5N50, BRONX, NY 10461-1197
(718) 918-5000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
314963
NY
Other
Enumeration date
03/27/2018
Last updated
11/19/2025
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