Individual
MS. PRISCILLA ROSE SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
72 VAN NAME AVE, STATEN ISLAND, NY 10303-2514
(347) 322-8015
Mailing address
72 VAN NAME AVE, STATEN ISLAND, NY 10303-2514
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308627
NY
363LP2300X
Primary Care Nurse Practitioner
308627
NY
Other
Enumeration date
03/10/2018
Last updated
11/07/2018
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