Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | X001831-1 | NY |
NPI | 1063413540 |
---|---|
Provider Name | Robert Santini |
First Address | Yonkers, NY 10704-2901 |
Second Address | Yonkers, NY 10704-2901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 08/07/2007 |