Individual
LISA MARIE SANTORIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
277158
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
277158
NY
Other
Enumeration date
03/27/2013
Last updated
10/25/2024
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