Individual
LUISA P SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 PORT WASHINGTON BLVD, SUITE 105, ROSLYN, NY 11576-1347
(516) 390-9640
(516) 390-9650
Mailing address
PO BOX 1054, PORT WASHINGTON, NY 11050-1054
(516) 629-2477
(516) 629-2452
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305423
NY
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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