Individual
MANUEL P SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
156 5TH AVE, 1112, NEW YORK, NY 10010-7002
(212) 477-0158
Mailing address
156 5TH AVE, 1112, NEW YORK, NY 10010-7002
(212) 477-0158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
204435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75M221
—
NY
Enumeration date
10/05/2005
Last updated
02/10/2014
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