Provider Demographics
NPI:1356398507
Name:SANTARSIERI, VITO A (MD)
Entity type:Individual
Prefix:
First Name:VITO
Middle Name:A
Last Name:SANTARSIERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 OLD HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1535
Mailing Address - Country:US
Mailing Address - Phone:516-794-4646
Mailing Address - Fax:
Practice Address - Street 1:51 CHARLES LINDBERGH BLVD
Practice Address - Street 2:DIANON SYSTEMS
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553
Practice Address - Country:US
Practice Address - Phone:516-794-4646
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151070207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology