Individual provider · Type 1 NPI

Ainie Soetanto, MD

Neurology Physician · Bronx, NY

NPI number 1942640644 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-2625 Map

Specialties and licenses

TaxonomyCodeLicense
Vascular Neurology Physician 2084V0102X289406 (NY)
Student in an Organized Health Care Education/Training Program 390200000X26938410 (PA)
Neurology Physician Primary 2084N0400X289406 (NY)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1942640644

Ainie Soetanto, MD's National Provider Identifier is 1942640644, issued on Jun 27, 2013. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Bronx, NY. The record was last updated on Apr 30, 2025.