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Individual

DARLENE T DESANTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
CHAM, 3415 BAINBRIDGE AVENUE, BRONX, NY 10467
(718) 741-2577
Mailing address
PO BOX 307, APT. 3R1 SCARBOROUGH MANOR, SCARBOROUGH, NY 10510-9207
(718) 741-2577
(718) 944-5908

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015025
NY

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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