Individual
CHANTELL FELICITA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
998 CROOKED HILL RD, BRENTWOOD, NY 11717
(631) 761-3500
Mailing address
24 OAK AVE, CENTEREACH, NY 11720-1916
(631) 312-7966
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
737357
NY
164W00000X
Licensed Practical Nurse
309989
NY
Other
Enumeration date
06/15/2012
Last updated
05/14/2018
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