Individual
DR. JUAN M HORTA-SANTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10005 ROOSEVELT AVE STE 202, CORONA, NY 11368-4880
(917) 832-7557
(917) 832-7503
Mailing address
100-05 ROOSEVELT AVE, SUITE 202, CORONA, NY 11368
(917) 832-7557
(917) 832-7503
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
266984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03524292
—
NY
01
—
266984
LICENSE
NY
05
—
G300546743
—
NY
05
—
G400743584
—
NY
Enumeration date
09/13/2007
Last updated
01/23/2023
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