Provider Demographics
NPI:1447551403
Name:SANTORO, ERNEST F (PT)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:F
Last Name:SANTORO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 QUINNIPIAC AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3344
Mailing Address - Country:US
Mailing Address - Phone:203-745-4973
Mailing Address - Fax:203-821-7417
Practice Address - Street 1:462-470 WASHINGTON AVE
Practice Address - Street 2:UNITS 1-3
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1311
Practice Address - Country:US
Practice Address - Phone:203-745-4973
Practice Address - Fax:203-821-7417
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CT008860225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist