Organization
PRISCILLA ROSE SANTANA NURSE PRACTITIONER ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRISCILLA ROSE SANTANA (NURSE PRACTITIONER)
(347) 322-8015
Entity
Organization
Contact information
Practice address
457 HILLMAN AVE, STATEN ISLAND, NY 10314-3318
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05362712
—
NY
Enumeration date
08/08/2019
Last updated
11/30/2021
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