Individual
GIOVANNI C SANTORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
313781-01
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
313781-01
NY
Other
Enumeration date
03/27/2018
Last updated
03/19/2024
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