Individual
IVANA SANTOPIETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-3266
(914) 787-3269
Mailing address
17 KRAFT AVE, BRONXVILLE, NY 10708-4103
(914) 771-6629
(914) 771-7106
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
247125
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
247125
NY
282N00000X
General Acute Care Hospital
25MA08170900
NJ
291U00000X
Clinical Medical Laboratory
247125
NY
291U00000X
Clinical Medical Laboratory
25MA08170900
NJ
Other
Enumeration date
11/30/2007
Last updated
06/03/2015
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