Healthcare Provider Details

I. General information

NPI: 1235140922
Provider Name (Legal Business Name): ROSELIA GUILLEN-SANTANA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 FULTON AVE FL 1
HEMPSTEAD NY
11550-3917
US

IV. Provider business mailing address

250 FULTON AVE FL 1
HEMPSTEAD NY
11550-3917
US

V. Phone/Fax

Practice location:
  • Phone: 516-497-7520
  • Fax: 516-280-9051
Mailing address:
  • Phone: 516-497-7520
  • Fax: 516-280-9051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number240701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: