Individual
OTIS VANGELY GARCIA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 CONKLIN ST APT 11A, FARMINGDALE, NY 11735-3731
(929) 215-4901
Mailing address
675 CONKLIN ST APT 11A, FARMINGDALE, NY 11735-3731
(929) 215-4901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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