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NPI Code Detail

MEDICARE: JESUS SANTIANO MD

MEDICARE: JESUS SANTIANO 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician207522-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679526909
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESUS SANTIANO MD
Provider Business Mailing Address
First Line : 6653 MAIN ST
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-5906
Country : US
Telephone Number : 716-204-4500
Fax Number : 716-204-4501
Provider Business Practice Location Address
First Line : 701 SENECA ST STE 646C
Second Line :
City : BUFFALO
State : NY
Zip : 14210-1351
Country : US
Telephone Number : 716-995-4450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 04/30/2020

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Directions to “ JESUS SANTIANO MD” Practice Location

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