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Individual

MR. ALLAN SANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
21 AUDUBON AVE FL 3, NEW YORK, NY 10032-2275
(332) 257-5072
Mailing address
21 AUDUBON AVE FL 3, NEW YORK, NY 10032-2275

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ01413400
NJ
363LF0000X
Family Nurse Practitioner
Primary
F350676-01
NY

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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