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NPI Code Detail

MEDICARE: DR. RAY RYAN CRISOSTOMO SANTOS MD

MEDICARE:  DR. RAY RYAN CRISOSTOMO 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
1208000000XPediatrics PhysicianNJ84462NJ
2208M00000XHospitalist PhysicianNJ84462NJ
3207R00000XInternal Medicine Physician284676NY
4207R00000XInternal Medicine Physician25MA08446200NJ
5207R00000XInternal Medicine PhysicianNJ84462NJ

General Provider Information

NPI Number : 1821241381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAY RYAN CRISOSTOMO SANTOS MD
Provider Business Mailing Address
First Line : 1345 RXR PLZ FL 13
Second Line :
City : UNIONDALE
State : NY
Zip : 11556-1301
Country : US
Telephone Number : 516-453-0435
Fax Number :
Provider Business Practice Location Address
First Line : 231 WASHINGTON ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-4738
Country : US
Telephone Number : 201-754-1006
Fax Number : 201-754-1005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 09/22/2020

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Directions to “ DR. RAY RYAN CRISOSTOMO SANTOS MD” Practice Location

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