National Provider Identifier

Mario D Santilli, M.D.

Mario D Santilli, M.D. is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 204-3250.

NPI 1194707034Amherst, NYSpecialist

Profile Overview

NPI
1194707034
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
November 16, 2005
Last Updated
October 15, 2015

Practice Location

  • 4949 Harlem RD
  • Amherst, NY 14226-2500

Phone: (716) 204-3250

Mailing Address

  • 5500 Main St
  • Williamsville, NY 14221-6755

Specialties

  • Specialist (174400000X)
Full Record
NPI
1194707034
Entity Type
Individual
Last Name
Santilli
First Name
Mario
Middle Name
D
Credential
M.D.
Mailing Street Address
5500 Main St
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6755
Mailing Country
US
Mailing Phone
(716) 906-5908
Practice Street Address
4949 Harlem RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-2500
Practice Country
US
Practice Phone
(716) 204-3250
Practice Fax
(716) 204-3269
Enumeration Date
November 16, 2005
Last Updated
October 15, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
RA9844 (NY, Medicare #)