Provider Demographics
NPI:1073653952
Name:SANTOS, MARIA TERESA M (MD)
Entity Type:Individual
Prefix:
First Name:MARIA TERESA
Middle Name:M
Last Name:SANTOS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1300 MORRIS PARK AVE, MAZER 100
Mailing Address - Street 2:ALBERT EINSTEIN COLLEGE OF MEDICINE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-993-3397
Mailing Address - Fax:718-993-2460
Practice Address - Street 1:260 EAST 161ST ST
Practice Address - Street 2:MELROSE ON TRACK
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3512
Practice Address - Country:US
Practice Address - Phone:718-993-3397
Practice Address - Fax:718-993-2460
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2010-02-02
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Provider Licenses
StateLicense IDTaxonomies
NY179905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine