Individual
CASEY SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 642-7855
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432645
NY
Other
Enumeration date
09/25/2023
Last updated
10/09/2025
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