Soetanto, Ainie

Soetanto, Ainie is an individual health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Soetanto, Ainie can be contacted via phone (718) 920-2625.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (718) 920-2625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 289406 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 26938410 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 289406 New York

Profile Details

NPI number 1942640644
LBN Legal business name Soetanto, Ainie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Apr 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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