Healthcare Provider Details

I. General information

NPI: 1154255115
Provider Name (Legal Business Name): JOSLEY DE LOS SANTOS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 DELAFIELD ST
POUGHKEEPSIE NY
12601-1749
US

IV. Provider business mailing address

115 DELAFIELD ST
POUGHKEEPSIE NY
12601-1749
US

V. Phone/Fax

Practice location:
  • Phone: 888-750-2266
  • Fax: 845-204-6199
Mailing address:
  • Phone: 888-750-2266
  • Fax: 845-204-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number932695
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: