Individual
ERNESTO GRACIANO SANTOS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2235
Mailing address
1275 YORK AVE, RADIOLOGY DEPT, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD438629
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
288512
NY
Other
Enumeration date
01/27/2010
Last updated
06/23/2017
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