Ainie Soetanto, M.D. is a student in an organized health care education training program in Bronx, NY with 11 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ainie Soetanto, M.D. NPI is 1942640644. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2013
The provider's business location address is:
111 E 210TH ST
BRONX, NY
ZIP 10467-401
Phone: (718) 920-2625
The NPI 1942640644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/27/2013 and was last updated on 6/27/2013.