Doctor Name: | MS. ELLEN MARIE MCCARTY-SANTORO |
NPI Number: | 1043549801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 302438 |
Business Practice Address: | 496 Smithtown Byp Smithtown, NY - 117875005 |
Business Phone Number: | 6319798880 |
Business Fax Number: | 6319798091 |
Mailing Address: | 496 Smithtown Bypass, SMITHTOWN |
State: | NY |
Postal Code: | 11787 |
Phone Number: | 6319798880 |
Fax Number: | 6319798091 |
NPI Enumeration Date: | 12/08/2009 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 302438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |