Healthcare Provider Details

I. General information

NPI: 1992102321
Provider Name (Legal Business Name): ALEXIA SANTANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 CASTLETON AVE BOOKKEEPING DEPARTMENT
STATEN ISLAND NY
10301-2709
US

IV. Provider business mailing address

275 CASTLETON AVE BOOKKEEPING DEPARTMENT
STATEN ISLAND NY
10301-2709
US

V. Phone/Fax

Practice location:
  • Phone: 718-447-7800
  • Fax: 718-448-7200
Mailing address:
  • Phone: 718-447-7800
  • Fax: 718-448-7200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: