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Organization
SANTE PROFESSIONAL CORPORATION
Active
Organization
SANTE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA STALEY (NURSE PRACTITIONER)
(323) 516-3964
Entity
Organization
Contact information
Practice address
19303 UNION TPKE, FLUSHING, NY 11366-1874
(718) 591-5308
Mailing address
6716 PARSONS BLVD APT 6C, FRESH MEADOWS, NY 11365-2958
(323) 516-3964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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