Individual
GLENDA L SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1283 YORK AVE, NEW YORK, NY 11375
(646) 697-1700
Mailing address
10420 QUEENS BLVD APT 17G, FOREST HILLS, NY 11375-3610
(347) 276-8755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308318
NY
Other
Enumeration date
09/07/2017
Last updated
07/14/2023
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