Individual
ANNELISE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21111 NORTHERN BLVD, BAYSIDE, NY 11361-3241
(212) 273-6272
Mailing address
21111 NORTHERN BLVD, BAYSIDE, NY 11361-3241
(917) 500-6511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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