Ainie Soetanto

M.D. | Vascular Neurology | 12+ years Exp


  111 E 210th St, Bronx
     New York, 10467-2401
  718-920-2625    Maps & Directions
Ainie Soetanto is a Bronx, New York based neurologist with 12 years of experience in Vascular Neurology. She completed her graduation from Albert Einstein College Of Medicine Of Yeshiva University in 2013. She is also affiliated with hospitals like She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Ainie Soetanto is 289406 for Neurology in New York. Her current practice location is 111 E 210th St, Bronx. Patients can reach her at 718-920-2625. Ainie Soetanto is M.D. in Vascular Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1942640644.
Ainie Soetanto is subspecialized in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Complete Profile:
Ainie Soetanto speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ainie Soetanto
Specialization: Vascular Neurology
Gender:Female
Credentials: M.D.
Accepts Medicare Assignment:May Accept
Practice Address:111 E 210th St, Bronx,
New York, 10467-2401
Phone:718-920-2625
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3274883590
Enrollment ID: I20180907001730
NPI Number: 1942640644
NPI Enumeration Date: 27 Jun, 2013
NPI Last Update On: 30 Apr, 2025

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ainie Soetanto are as mentioned below.
License NumberSpecializationStateStatus
289406Neurology New YorkPrimary
289406Vascular Neurology New YorkSecondary
26938410Student in an Organized Health Care Education/Training Program PennsylvaniaSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(330059)Bronx, NYAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ainie Soetanto is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Montefiore Medical Center (3779496021)1915
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ainie Soetanto
111 E 210th St,
Bronx, New York
Zip: 10467-2401
Phone Number: 718-920-2625
Patients can reach Ainie Soetanto at 111 E 210th St, Bronx, New York or can call to book an appointment on 718-920-2625.
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*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.