Individual
ANGELA D SANTOS GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 GREENHILLS RD, S. HUNTINGTON, HUNTINGTON STATION, NY 11746-3905
(516) 777-8777
Mailing address
3 GREENHILLS RD, S. HUNTINGTON, HUNTINGTON STATION, NY 11746-3905
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
04/16/2014
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