Individual
ELISA M. SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8200
(631) 726-8886
Mailing address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8300
(631) 726-8886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
243020-1
NY
208M00000X
Hospitalist Physician
243020
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02873430
—
NY
Enumeration date
03/19/2007
Last updated
10/01/2024
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