Individual
ERNANCILIS SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1974 LAFONTAINE AVE APT 1A, BRONX, NY 10457-4712
(646) 294-8342
Mailing address
1974 LAFONTAINE AVE APT 1A, BRONX, NY 10457-4712
(646) 294-8342
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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