Individual
MONIQUE SANTOS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3064 43RD STREET, 3L, ASTORIA, NY 11103-1110
(917) 500-0776
(917) 500-0776
Mailing address
3405 44TH ST, LONG ISLAND CITY, NY 11101-1256
(917) 500-0776
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
609950
NY
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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