Individual
IAN H SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PC, ALBANY, NY 12211-2526
(518) 292-6000
(518) 292-6050
Mailing address
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES PC, ALBANY, NY 12211-2526
(518) 292-6000
(518) 292-6050
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
220300
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
220300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02131533
—
NY
01
—
060067434
RR MEDICARE
NY
01
—
060070901
RR MEDICARE
MA
05
—
1010136
—
VT
05
—
2015820
—
MA
Enumeration date
09/12/2005
Last updated
01/30/2015
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