Individual
DR. JUSTIN SANTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-2363
(914) 493-2505
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
283345
NY
207T00000X
Neurological Surgery Physician
A102313
CA
207T00000X
Neurological Surgery Physician
MD60335200
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283345
NYS LICENSE
NY
Enumeration date
05/23/2008
Last updated
10/26/2020
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