Individual
MRS. NICOLE MARIE SANTOPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-4784
(718) 918-7379
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-4784
(718) 918-7379
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008215
NY
Other
Enumeration date
12/20/2007
Last updated
11/09/2009
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