Provider Demographics
NPI:1215934724
Name:SANTORO, CAROL RINKO (MD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:RINKO
Last Name:SANTORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:JEAN
Other - Last Name:RINKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 14890
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212-4890
Mailing Address - Country:US
Mailing Address - Phone:518-525-5634
Mailing Address - Fax:
Practice Address - Street 1:7 SOUTHWOODS BLVD
Practice Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-2526
Practice Address - Country:US
Practice Address - Phone:518-292-6000
Practice Address - Fax:518-292-6050
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220295207R00000X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000499974002OtherBSNENY
NY4124266OtherMOHAWK VALLEY PHP
NY02250526Medicaid
NY199345OtherWELLCARE
NY040924000012OtherFIDELIS CARE
MA2099403Medicaid
NY7904293OtherAETNA
NY7Q2093OtherEBCBS
NY0110234410OtherRR MEDICARE
NY10060793OtherCDPHP
NY1467471OtherUHC
NY1467471OtherUHC
NY199345OtherWELLCARE
F02235Medicare UPIN
F02235Medicare UPIN