Provider Demographics
NPI:1013257435
Name:FORTUNATO SANTI DIFRANCO M.D. P.C
Entity Type:Organization
Organization Name:FORTUNATO SANTI DIFRANCO M.D. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FORTUNATO
Authorized Official - Middle Name:SANTI
Authorized Official - Last Name:DIFRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-848-9105
Mailing Address - Street 1:7506 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-1034
Mailing Address - Country:US
Mailing Address - Phone:718-848-9105
Mailing Address - Fax:
Practice Address - Street 1:7506 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-1034
Practice Address - Country:US
Practice Address - Phone:718-848-9105
Practice Address - Fax:718-848-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty