Individual
CARLOS SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
560 SOUTHERN BLVD, BRONX, NY 10455-3715
(718) 542-8082
Mailing address
2513 86TH ST, EAST ELMHURST, NY 11369-1026
(646) 204-6422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115764-01
NY
Other
Enumeration date
07/20/2022
Last updated
11/03/2022
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