MEDICARE: SUSAN M SANTRY,MD & VALNEO M BUTTARI, MD PLLC

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

Other Identifiers

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

General Provider Information

NPI Number	:	1700917838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN M SANTRY,MD & VALNEO M BUTTARI, MD PLLC

Provider Business Mailing Address
First Line	:	PO BOX 2149
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06813-2149
Country	:	US
Telephone Number	:	203-775-6659
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 E LINCOLN AVE
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-3208
Country	:	US
Telephone Number	:	914-668-5944
Fax Number	:	914-668-5978

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN M SANTRY
Credential	:	MD
Telephone Number	:	914-668-5944

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	08/22/2020

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