Individual
ELCY SANTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 OLD COUNTRY RD, MINEOLA, NY 11501-4218
(516) 279-4400
Mailing address
39 LOWELL ST, HICKSVILLE, NY 11801-2529
(516) 384-9285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
511177
NY
363LF0000X
Family Nurse Practitioner
Primary
F342722
NY
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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