Individual
DOMINGO ANTONIO SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2869 GRAND CONCOURSE, STE 1, BRONX, NY 10468-1966
(718) 676-4177
(718) 676-4179
Mailing address
2869 GRAND CONCOURSE, STE 1, BRONX, NY 10468-1966
(718) 767-4177
(718) 676-4179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
239271
NY
Other
Enumeration date
06/01/2006
Last updated
04/12/2017
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