Provider Demographics
NPI:1083051734
Name:SANTI PODIATRY GROUP PLLC
Entity Type:Organization
Organization Name:SANTI PODIATRY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-435-1031
Mailing Address - Street 1:240 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2404
Mailing Address - Country:US
Mailing Address - Phone:718-435-1031
Mailing Address - Fax:718-435-9617
Practice Address - Street 1:240 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2404
Practice Address - Country:US
Practice Address - Phone:718-435-1031
Practice Address - Fax:718-435-9617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty