Marissa T Santos, MD PC

NPI #1225153356 in Woodside, New York

Provider Information

NPI Number: 1225153356
Entity Type: Organization
Organization Name: Marissa T Santos, MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 20, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 6911 ROOSEVELT AVE # B
City: Woodside
State: New York
ZIP Code: 11377-2933
Phone: (718) 478-5600

Authorized Official

Name: DR. MARISSA T SANTOS, MD
Title: OWNER
Phone: (212) 255-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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