Doctor Name: | EMILY SANTOBUONO |
NPI Number: | 1902132368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 013575 |
Business Practice Address: | 3 Tioga Blvd Apalachin, NY - 137324197 |
Business Phone Number: | 6076252136 |
Business Fax Number: | 6076253757 |
Mailing Address: | 1949 Lillie Hill Rd, APALACHIN |
State: | NY |
Postal Code: | 137323133 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/20/2009 |
NPI Last Update Date: | 01/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 013575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |