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NPI Code Detail

MEDICARE: JAMES URBANO MANALASTAS SANTOS MD

MEDICARE:   JAMES URBANO MANALASTAS SANTOS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician340297NY

General Provider Information

NPI Number : 1427706662
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES URBANO MANALASTAS SANTOS MD
Provider Business Mailing Address
First Line : 1 HEROES WAY
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2054
Country : US
Telephone Number : 631-548-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1 HEROES WAY
Second Line :
City : RIVERHEAD
State : NY
Zip : 11901-2058
Country : US
Telephone Number : 631-548-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2022
Last Update Date : 05/12/2026

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