Individual
JESSICA SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NICOLLS RD # T16-080, STONY BROOK, NY 11794-2130
(631) 444-1066
(631) 444-1054
Mailing address
125 OAKLAND AVE STE 301, PORT JEFFERSON, NY 11777-2130
(631) 686-2565
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310414
NY
Other
Enumeration date
10/28/2021
Last updated
03/11/2022
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