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Organization

INCLUSIVE HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRISCILLA ROSE SANTANA NURSE PRACTITIONER (OWNER)
(347) 322-8015
Entity
Organization

Contact information

Practice address
72 VAN NAME AVE, STATEN ISLAND, NY 10303-2514
(347) 322-8015
Mailing address
72 VAN NAME AVE, STATEN ISLAND, NY 10303-2514
(347) 322-8015

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251K00000X
Public Health or Welfare Agency
261QC1500X
Community Health Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
363LA2200X
Adult Health Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
11/01/2018
Last updated
12/07/2018
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