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Individual

EDUARDO SANTOS DEL ROSARIO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, FNP-BC

Contact information

Practice address
300 CORPORATE BLVD S, YONKERS, NY 10701-6862
(833) 637-3866
(212) 844-1503
Mailing address
93 4TH AVE UNIT 1393, NEW YORK, NY 10003-5213
(503) 334-9374

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336714
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208VP0014X
DPMPC
NY
05
290830
OR
Enumeration date
07/24/2006
Last updated
02/19/2024
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