Individual
EMMANUEL AGUSTIN SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1626 PUTNEY RD, VALLEY STREAM, NY 11580-1818
(718) 618-5075
Mailing address
55 BANK ST APT 716, WHITE PLAINS, NY 10606-2021
(347) 322-4303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1635613221
NY
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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