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1215934724

NPI Code Detail

MEDICARE: CAROL RINKO SANTORO MD

MEDICARE: CAROL RINKO SANTORO 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
1	207R00000X	Internal Medicine Physician	220295	NY
2	207RB0002X	Obesity Medicine (Internal Medicine) Physician	220295	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	0110234410	OTHER	NY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000499974002	OTHER	NY	BSNENY
2	4124266	OTHER	NY	MOHAWK VALLEY PHP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	199345	OTHER	NY	WELLCARE
5	040924000012	OTHER	NY	FIDELIS CARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	7904293	OTHER	NY	AETNA
8	7Q2093	OTHER	NY	EBCBS
10	10060793	OTHER	NY	CDPHP
11	1467471	OTHER	NY	UHC

General Provider Information

NPI Number	:	1215934724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL RINKO SANTORO MD

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:	518-525-5634
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 SOUTHWOODS BLVD
Second Line	:	CAPITAL CARDIOLOGY ASSOCIATES
City	:	ALBANY
State	:	NY
Zip	:	12211-2526
Country	:	US
Telephone Number	:	518-292-6000
Fax Number	:	518-292-6050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	05/11/2021

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Directions to “ CAROL RINKO SANTORO MD” Practice Location

Language	Start Address	Practice Location

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