Individual
DR. RAFAEL A DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 WILLIAM ST, GREAT NECK, NY 11023-1120
(516) 466-5080
Mailing address
9 WILLIAM ST, GREAT NECK, NY 11023-1120
(516) 466-5080
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
095425
NY
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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