Organization
CITIPRO-GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAIZA SANTANA MS (THERAPIST)
(917) 232-6399
Entity
Organization
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(717) 769-2698
(717) 769-2317
Mailing address
451 BEACH AVE, BRONX, NY 10473-3609
(347) 726-3073
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
252Y00000X
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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