Provider Demographics
NPI:1003094616
Name:SANTHOUSE, ALLISON C (RPA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:C
Last Name:SANTHOUSE
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 57TH ST
Mailing Address - Street 2:SUITE 710
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2049
Mailing Address - Country:US
Mailing Address - Phone:212-750-8900
Mailing Address - Fax:908-281-7796
Practice Address - Street 1:115 E 57TH ST
Practice Address - Street 2:SUITE 710
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2049
Practice Address - Country:US
Practice Address - Phone:212-750-8900
Practice Address - Fax:908-281-7796
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
NY011936363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
843131Medicare PIN