Healthcare Provider Details

I. General information

NPI: 1215934724
Provider Name (Legal Business Name): CAROL RINKO SANTORO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROL JEAN RINKO MD

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SOUTHWOODS BLVD CAPITAL CARDIOLOGY ASSOCIATES
ALBANY NY
12211-2526
US

IV. Provider business mailing address

PO BOX 14890
ALBANY NY
12212-4890
US

V. Phone/Fax

Practice location:
  • Phone: 518-292-6000
  • Fax: 518-292-6050
Mailing address:
  • Phone: 518-525-5634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number220295
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number220295
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: