Ida Louise Santana
Internist Internist - Addiction Medicine
584 Broadway Suite 510
New York
, New York 10012-3229
Ida Louise Santana
Internist Internist - Addiction Medicine
584 Broadway Suite 510
New York
, New York 10012-3229
(202) 827-6646
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Ida Louise Santana
- 584 Broadway Suite 510
- New York, NY
- Zip : 10012-3229
- Fax : (202) 827-6646
- Phone : (202) 827-6646
Second Address
- Ida Louise Santana
- 584 Broadway Suite 510
- New York, NY
- Zip : 10012-3229
- Fax : (202) 827-6646
- Phone : (202) 827-6646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 231523 | NY |
| Y | 111NI0900X | Internist | 231523 | NY |
| N | 207RA0401X | Internist - Addiction Medicine | 231523 | NY |
National Provider Identifier
| NPI | 1942483003 |
|---|---|
| Provider Name | Ida Louise Santana |
| First Address | New York, NY 10012-3229 |
| Second Address | New York, NY 10012-3229 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2007 |
| Last Update Date | 31/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 231523-1 | NY MEDICAL LICENSE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.