Individual
DR. CARLOS SANTA INES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4240
(607) 337-4046
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4240
(607) 337-4046
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
235790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02645403
—
NY
Enumeration date
11/28/2005
Last updated
11/06/2024
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