Individual
JENNIFER L SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
107 N OCEAN AVE STE G, PATCHOGUE, NY 11772-2012
(631) 654-5004
Mailing address
107 N OCEAN AVE STE G, PATCHOGUE, NY 11772-2012
(631) 654-5004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022858
NY
Other
Enumeration date
10/09/2018
Last updated
05/20/2024
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