Individual
ANGELINA DE SANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2089 3RD AVE, NEW YORK, NY 10029-2117
(212) 828-6144
(212) 828-6145
Mailing address
200 21ST ST, 4A, BROOKLYN, NY 11232-4434
(347) 400-5584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244019
—
NY
Enumeration date
05/19/2008
Last updated
09/11/2008
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