Provider Demographics
NPI:1013024736
Name:NEUBERGER, SANTI J (MD)
Entity Type:Individual
Prefix:DR
First Name:SANTI
Middle Name:J
Last Name:NEUBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:60 GOLDENS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3447
Mailing Address - Country:US
Mailing Address - Phone:914-232-1919
Mailing Address - Fax:914-232-3266
Practice Address - Street 1:1290 SUMMER ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5360
Practice Address - Country:US
Practice Address - Phone:203-324-9955
Practice Address - Fax:203-324-0171
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2014-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT026954207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001269547Medicaid
CT001269547Medicaid
CT110003645Medicare PIN