Individual
DIANA C SANTORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PA-C
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, STONY BROOK, NY 11794-8122
(516) 242-8474
Mailing address
67 BERNARD ST, MASSAPEQUA, NY 11758-3606
(516) 242-8474
(516) 798-6971
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
014182
NY
363AS0400X
Surgical Physician Assistant
Primary
014182
NY
Other
Enumeration date
09/16/2010
Last updated
10/15/2018
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