Individual
DR. KENNETH M SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 299-5451
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
221527-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02168674
—
NY
Enumeration date
07/06/2006
Last updated
05/01/2024
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